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Proton pump inhibitor and histamine 2 receptor antagonist use and vitamin B12 deficiency

These include: Pale or jaundiced skin Extreme tiredness and lack of energy Pins and needles, muscle weakness, cramping, impaired balance Cognitive issues such as anxiety, depression, 'brain fog', psychosis and dementia Red, inflamed tongue Blurred vision What does vitamin B12 do

While SCD typically involves the dorsal columns and lateral corticospinal tracts, not all patients with B12 deficiency develop advanced demyelination detectable on MRI

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