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Signs of a B12 deficiency include: pain tingling difficulty walking uncontrollable muscle movements confusion, forgetfulness, or memory loss changes in mental state or mood changes in smell or taste vision problems diarrhea weight loss glossitis, aka a painful, smooth, and red tongue If you have any of the above symptoms, talk with a doc

Constipation occurs in some men as slowed gastric motility affects the entire digestive tract

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While diet provides enough B12 for most, some medical conditions prevent proper absorption, making injections necessary

All of this is causing great pain to people who suffer from pernicious anemia or another type of gastric B12 malabsorption