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If stomach acid levels are low, as can happen with age or certain medications, B12 absorption may be compromised

Its important to recognize that certain medications and health conditions can also impact these vital signs

Signs You May Have Low Vitamin B12 Tingling or numbness in the feet Burning or stabbing nerve pain Fatigue, and weakness while walking Balance problems Blood testing is recommended before treatment where possible

concerns regarding unpredictable absorption The mechanism for the oral route is based on passive absorption of vitamin B 12 (without binding to intrinsic factor) as well as active absorption (following binding to intrinsic factor, if present, e.g