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B12 deficiency itself commonly causes fatigue and disrupted sleep patterns, which improve with appropriate treatment

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Many patients with B12 deficiency, especially those with pernicious anemia, have difficulty clearing cyanide

Written questions and answers Written questions, answers and statements UK Parliament UIN 224293, tabled on 11 February 2015 Virenda Sharma, a Labour MP, asked for an assessment of the implications for policies of the findings by the Pernicious Anaemia Society members survey, published in the British Journal of Nursing in April 2014, that over 60% of people with Pernicious Anaemia are unhappy with their treatment and that many such people have had to resort to self-medicate