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[32] [35] Deficiency symptoms in children include developmental delay, regression, irritability, involuntary movements and hypotonia

This includes: Proper diagnosis and management of digestive problems like celiac disease or Crohns disease Reviewing long-term medicines (such as PPIs or metformin) with a doctor Reducing or stopping alcohol intake, if applicable When the main cause is treated properly, vitamin B12 absorption improves and long-term health outcomes are much better