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Its important to remember these symptoms can have multiple causes, so if youre experiencing any of them, for an accurate diagnosis, speaking with a healthcare professional is essential

Browse related peptide guides Dr Rimas Geiga Learn more about the clinics medical adviser with interests in metabolism, nutrition and healthy ageing

If the patient has an autoimmune disease or another condition that prevents the stomach from making intrinsic factor, then Vitamin B12 injections may be a better option

For example, too much folic acid can hide a Vitamin B12 shortage, causing nerve damage

For some, histamine symptoms begin or worsen when trying to fix the gut, especially by consuming fermented foods, which are often high in histamine and may contain histamine-producing bacteria