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Nausea or Vomiting: Nausea or vomiting may occur if there is significant blood loss or if the underlying cause of Melaena is a stomach or intestinal obstruction

Biomolecules 10 (10), 1360

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This observation aligns with the absorption science

Patients should seek urgent same-day assessment if they develop any new neurological symptoms, as subacute combined degeneration of the spinal cord a serious but preventable complication of prolonged B12 deficiency requires immediate treatment