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Recognising early warning signs is crucial because neurological damage can become irreversible if deficiency persists untreated

[15] [16] Tests may include full blood count, serum B12 levels, anti-intrinsic factor antibodies (to diagnose pernicious anaemia), and sometimes methylmalonic acid or homocysteine levels when the diagnosis is uncertain

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Additionally, the absorption process itself is competitive, with amino acids and other nutrients vying for uptake in the small intestine

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