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Managing Pernicious Anaemia in the time of Corononavirus By Willemina Rietsema, GP in Oxfordshire A time of stress and need to be creative The stresses on GPs and surgeries are immense during this coronavirus crisis

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As B12 plays an essential role in enhancing the metabolic function of the cells, this nutrient can boost energy release, improve memory and help prevent heart disease

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Mild symptoms can include: Pale skin Feeling irritable Loss of appetite Diarrhea or constipation Feeling short of breath when exercising Swollen and red tongue or bleeding gums Feeling tired or lightheaded with light exertion If your vitamin B12 stays low for a longer period of time, your nerves may experience some damage, which can cause other, more serious symptoms such as: Confusion Hallucinations Trouble concentration Having trouble balancing Numbness and tingling in your hands and feet Recommended Daily Intake of Vitamin B12 For most adults, health professionals recommend taking 2.4 mcg of B12 daily

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