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As some deficiencies (particularly vitamin B 12 ) may take years to present clinical symptoms, the long-term management of vitamin B deficiency is crucial

[1] [4] When B12 is deficient, myelin production is impaired, leading to demyelinationthe breakdown of this protective sheathwhich results in abnormal nerve signalling perceived as pain, tingling, or numbness

And less stomach acid means poorer B12 absorption from food