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You Have Absorption Issues Some people have trouble properly absorbing vitamin B12 from foods and oral supplements due to digestive disorders like celiac disease or Crohns disease

While current research does not show a notable reduction in B12 absorption, the changes in digestion could affect the absorption of nutrients, making it important to take supplements, including vitamin B12

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Herpetic neuralgia Intense neuritic pain and neuralgia are common in patients with herpes zoster (HZ, shingles), and acute herpetic neuralgia (AHN) is defined as pain within 30 days of HZ infection

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This includes conditions like Lebers hereditary optic neuropathy and kidney problems