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Common B12 Deficiency Symptoms: Persistent brain fog and cognitive decline affecting daily performance Chronic fatigue unrelieved by rest or lifestyle modifications Migraines and neurological symptoms including neuropathy Depression , anxiety, and seasonal affective disorder Memory loss and increased risk of dementia and Alzheimers Digestive issues and compromised immune system function Infertility and reproductive health complications Medical Conditions and Risk Factors Numerous medical conditions significantly increase the risk of B12 deficiency by interfering with absorption, utilization, or storage of this essential vitamin

The British Society for Haematology (BSH) published their Guidance on treating Pernicious Anaemia during Covid-19 two weeks ago

Many patients factor in the cost of B12 injections or sublingual supplements as part of their overall wellness investment during semaglutide treatment

Smoking and excess alcohol add avoidable damage The NHS advises avoiding smoking and excessive alcohol because they can harm bone and heart health, both of which already require attention in thalassemia