But only a maximum of 5mcg of B12 enters the bile every day (according to "Advanced Haematology" 7th edition textbook, page 60), so it seems that only an additional 5mcg would be lost daily if none was recovered
The symptoms are: Low energy Chronic fatigue Weakness Light-headedness Heart palpitations and shortness of breath Pale skin Dental problems, such as mouth sores and bleeding gums Sore red tongue Yellowing of the skin Mouth ulcers Constipation, diarrhoea, nausea, loss of appetite, or gas Nerve issues such as tingling or numbness, muscle weakness, and difficulty walking Joint pain Vision loss Mental illness, memory loss, or behavioural changes Poor concentration Dr Aravinda further noted that serious clinical symptoms like dementia, weariness, mood disruption, and megaloblastic anaemia can result from severe vitamin B12 insufficiency
Helpful resources and support Pre-habilitation for surgery guide Sources and references 2 The effects of alcohol on anaesthesia 3 Planning for Surgery alcohol advice Acknowledgements and clinical review This page has been medically reviewed and approved by Mr James Potter, an anaesthetic specialist practitioner at Practice Plus Group
What are the B12 injection side effects