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The value of another blood test, holotranscobalamin (HoloTC), decreases with vitamin B12 deficiency

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However, several groups are at high risk of deficiency and may benefit significantly from regular injections or supplementation

Breathlessness and dizziness B12 deficiency can cause anaemia, so a common symptom is feeling short of breath or dizzy, particularly when you physically exert yourself

Whilst many symptoms improve with appropriate B12 treatment, not all resolve completely, especially if neurological damage was severe or prolonged before treatment commenced