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Vitamin B12 deficiency causes tiredness, weakness, constipation, loss of appetite, weight loss, and megaloblastic anemia

Athletes taking metformin, proton pump inhibitors, or certain antibiotics should also consider their increased deficiency risk

Then there are those who simply want to try something else before committing to a long-term prescription

However, negative sentiments emerged in discussions involving difficulties with pill administration, highlighted by words such as pills, bad, eat, and trying. Interestingly, mentions of pain and tablets remained neutral, reflecting a more factual and less emotionally charged tone compared with other topics on SM

Surgical intervention is considered when recovery remains poor after 3 months 9