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If fatigue persists or worsens over time, checking B12 levels, thyroid function, and other nutritional markers is warranted

Vitamin B12 deficiency can also cause glossitis , which is inflammation of the tongue

As a result, GPs and private cosmetic clinics may see more patients presenting with distressing acne like side effects that can be associated with this potential new fad

In cases where the diagnosis is still unclear after initial testing, other lab tests, such as MMA and homocysteine levels, are available

While B12 is important for so many different areas of health and a low-level deficiency can go undetected for years, it is not tested as part of a standard pathology test