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Even 20-30 minutes of walking can significantly enhance results

Medications that reduce B12 absorption: Proton pump inhibitors (PPIs) such as omeprazole, lansoprazole, and esomeprazole are amongst the most commonly prescribed drugs in elderly populations

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The American Academy of Family Physicians and NIH identify the following clinical manifestations: Fatigue and generalized weakness Megaloblastic anemia (abnormally large, immature red blood cells) Tingling or numbness in the hands and feet (peripheral neuropathy) Difficulty walking and balance problems Cognitive disturbances including memory difficulty and confusion Mood changes, including depression and irritability Glossitis (swollen, inflamed tongue) Early symptoms such as fatigue and mild tingling are often attributed to stress, aging, or other conditions