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Tatiana Lapa, an aesthetic doctor and founder of Drs Tatiana + Rishi Advanced Aesthetics, says your skin can be one of the indicators of a B12 deficiency: Symptoms might include a pale or jaundiced appearance, and in more severe cases, individuals might develop hyperpigmentation or a rash

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I take esomaprazole for heartburn and this can reduce the ability to absorb vit b12 hence mt taking the oral spray

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