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When the terminal ileum is surgically removed, as is often the case in individuals with inflammatory bowel disease, colorectal cancer, familial adenomatous polyposis, or other conditions requiring ileostomy or pouch formation, but also urostomy, B12 absorption may become severely compromised

Nervous System Function This essential vitamin supports healthy nerve function and neurotransmitter production, contributing to mental clarity and mood balance

Most patients begin to see results after two weeks

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During the physical examination, your doctor will look for a red, beefy tongue, pale or yellowish skin, a rapid pulse, and heart murmurs resulting from an anemia-related increase in blood flow demands on the heart