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If you notice these changes in yourself or a loved one after bariatric surgery, it's essential to consider vitamin B12 deficiency as a potential cause

It acts as a stimulator of your circulatory system by regulating red blood cell production, which helps keep your skin looking healthy and full of color

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8,15 Serum holotranscobalamin level, which is reduced in vitamin B 12 deficiency, compared favorably with homocysteine and methylmalonic acid levels as a confirmatory test in one study, but further trials are needed before its widespread use for this purpose can be recommended

More severe side effects include: Advertisement It can be difficult to diagnose vitamin B12 deficiency because you may not have symptoms, or symptoms can be like other nutritional deficiencies

It depends on the documented cause, most commonly D50.9 for iron deficiency and D56.x for thalassemia