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Ideally, tell your family and friends about this possible side effect as you start the medication, so that they can help you detect any changes in your behavior

Macrocytic anemia occurs when your body doesnt have enough normal red blood cells, and can cause symptoms including muscle weakness and paresthesias (paresthesias is the technical term for the pins and needles feeling on your skin)

A full blood count and serum B12 measurement are straightforward investigations that can help differentiate causes

Organ meats, especially liver and kidney, are particularly high in B12

gastrointestinal flora balances dictate the extent and efficiency of nutrients absorbed by the bloodstream efficiently