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In 2006/2007 there was a steep increase in the volume of patients receiving vitamin B12 intramuscular injections

But slowly, steadily, they're shrinking

Maddox believes in maintaining a strong sense of empathy in order to better serve his patients whilst ensuring his care is personalized

Some problems of the gut can also be a cause of vitamin B12 deficiency, but this is less uncommon, for example: vegetarian, vegan, or following a plant-based diet surgery to remove parts of the bowel (the stomach or the end of the small intestine) Crohns disease atrophic gastritis (where the lining of the stomach is thinned)

Skin Rash: Redness, itching, or dryness of the skin