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Common symptoms include causing pain, swelling, stiffness, and disability

23 Request acute orthopaedic assessment if septic arthritis is suspected

First, many people cannot effectively absorb B12 due to low stomach acid, gut inflammation, aging, or conditions like pernicious anemiathis prevents B12 from being properly absorbed from food or oral supplements

However, vitamin B 12 deficiency does not generally develop until after at least two-to-three years of continuous therapy (137-139)
