Patients with hepatic impairment present two competing considerations
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Vitamin B12 deficiency can cause fatigue, memory and cognitive loss, myalgias(leg and back pain), poor digestion, mood changes, hair loss, weight gain due to poor metabolism
Vitamin B12 is not produced by our body, it is obtained from food in our diet
Malabsorption of Vitamin B12 In The Small Intestine Many stomach and intestinal diseases can affect cobalamin (or vitamin B12) absorption in the small intestine
In such scenarios, nutritional approach becomes more crucial