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Pain relievers like acetaminophen or ibuprofen may be used if needed

Individuals With Malabsorption Conditions Certain medical conditions and medications can interfere with B12 absorption, including: Pernicious anemia (an autoimmune condition that impairs intrinsic factor production necessary for B12 absorption)[12]

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Characteristic symptoms of vitamin C deficiency include: swollen and bleeding gums fatigue poor wound healing joint pain loose teeth colored spots on the skin In some cases, signs of scurvy can occur within a month of consuming less than 10 milligrams (mg) per day of vitamin C