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When to contact your GP: Persistent severe nausea or vomiting that prevents adequate fluid intake Signs of dehydration (dizziness, dark urine, reduced urination) Severe abdominal pain that could indicate pancreatitis Symptoms of very low blood sugar (confusion, sweating, trembling) if taking other diabetes medications Blood pressure readings consistently below 90/60 mmHg or above your target range Blood pressure readings of 180/120 mmHg or higher, especially with symptoms such as severe headache, chest pain, or vision problems (seek same-day medical assessment) Any new or concerning symptoms Your healthcare team may adjust your blood pressure medications if your readings improve significantly

This means that under certain conditions, our body may not be able to synthesize them

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Some of the most common causes of vitamin B12 malabsorption are: Leaky gut and inflammatory bowel disease Gut dysbiosis (imbalance in gut bacteria) Low stomach acid (hypochlorhydria) The auto immune condition pernicious anaemia - as the body attacks and destroys intrinsic factor, the protein that is essential for B12 absorption Acid suppressant medications Excessive alcohol Vegan or vegetarian diets (plant sources are poorly absorbed) According to various studies 50% of long-term vegetarians and 80% of vegans are extremely low in B12