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Saudi Medical Journal

They are also beneficial for individuals with poor dietary intake of B12 (including vegetarians and vegans), older adults with reduced absorption, patients with digestive conditions like Crohns disease or celiac disease, and those managing conditions like anemia, sciatica, or peripheral neuropathy

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Patients may experience: Sensory symptoms : Burning pain, sharp or shooting sensations, increased sensitivity to touch (allodynia), or reduced ability to feel temperature changes Motor symptoms : Muscle weakness, loss of coordination, difficulty walking, or foot drop Autonomic symptoms : Changes in blood pressure, heart rate irregularities, digestive problems, or abnormal sweating Many patients describe the discomfort as worse at night, which can significantly impact sleep quality and overall well-being

Some people may also suffer from pernicious anemia, which inhibits the body from being able to absorb enough vitamin B12, causing a deficiency