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Delays in diagnosis and subsequent initiation in treatment of pernicious anaemia have been shown to increase the risk of irreversible neurological damage involving both the central and peripheral nervous system, resulting in permanent symptoms, such as peripheral neuropathy, cognitive impairment and damage to the spinal cord (known as subacute combined degeneration of the spinal cord)[9,16]

Studies have shown that about 66% of patients demonstrate these micronutrient deficiencies after bariatric surgery, sleeve gastrectomy, and gastric bypass, which include vitamin B1 ( thiamin), vitamin B12, vitamin C, and zinc

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