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Taking certain medicines for a long time, like proton pump inhibitors or metformin, can block B12 absorption

Data Analysis and Consensus Definition After returning the answers of the first survey round, we calculated the mean and 80% confidence intervals (CIs) of the percentage of panelists who agreed with each of the answers

Black or tarry stool, visible blood in the stool, vomiting blood, severe abdominal pain, unexplained weight loss, persistent fever, anemia, or progressive swallowing difficulty should be evaluated appropriately

Therefore, numbness and pain in the extremities from vitamin B12 deficiency can be mistaken for peripheral neuropathy in people with diabetes