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Depending on the case, treatment may include: Antibiotics Dietary therapy Supplementation of pancreatic enzymes Anti-inflammatories Nausea and pain medication IV fluid therapy Surgery Oral cobalamin supplementation may be recommended while the underlying cause of the deficiency is being treated

Low Energy Persistent fatigue that doesnt improve with rest is often a sign of B vitamin deficiency

Unlike some medications with circadian-dependent metabolism, B12 absorption mechanisms function consistently throughout the 24-hour cycle

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