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[1] [2] When neurological symptoms are present such as paraesthesia, numbness, balance problems, or cognitive changesmore aggressive treatment is required

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These symptoms aren't always due to vitamin B12-deficiency anaemia, but if you have them see your GP. Avoiding vitamin B12 deficiency Experts say adults aged 19 to 64 require around 1.5 micrograms (mg) a day of vitamin B12, and you should be able to get this through your diet