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It starts when a signal reaches a fat cell and increases cAMP levels inside the cell
In addition, people with gastrointestinal issues that prevent absorption of nutrients from the gut can develop vitamin B12 deficiency symptoms
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Anemia can be more than just an annoyance: many people find that it causes them to feel exhausted all of the time and have trouble breathing
Medications like metformin or acid blockers can also play a role
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