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People with symptoms of vitamin B12 deficiency It is a good idea for anyone with the following signs and symptoms of a vitamin B12 deficiency or pernicious anemia to consult a doctor: People with gastrointestinal issues Conditions that affect the gastrointestinal tract may affect vitamin B12 release or absorption, including: pernicious anemia, which can lead to gastric atrophy, or damage to the stomach fish tapeworm infestation bowel or pancreatic cancer folic acid deficiency overgrowth of bacteria in the small intestine diabetes thyroid disease Crohns disease celiac disease chronic pancreatitis People who have undergone gastrointestinal surgery, including weight loss, may have fewer cells necessary to secrete stomach acid and intrinsic factor
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This process may include: Mental health questionnaires Anxiety screening tools Discussions about thoughts, emotions, and behaviors Questions about panic attacks or intrusive thoughts Assessment of coping habits Review of alcohol or substance use These tools help providers determine whether symptoms are related to: Generalized Anxiety Disorder (GAD) Panic Disorder Obsessive-Compulsive Disorder (OCD) Social Anxiety Disorder Other mental health conditions Identifying Co-Occurring Conditions Many people with anxiety may also experience other mental health concerns
