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From: Dr. Doug Graham (
Subject:         Re: Chron's disease, ileostomy and B12
Date: September 9, 2013 at 9:28 am PST

In Reply to: Chron's disease, ileostomy and B12 posted by liav on September 9, 2013 at 2:50 am:

If you are showing any B12 deficiency symptoms, by all means, take some supplements. If not, you are safe to watch and wait, and retest in 3-6 months. If the levels continue to drop, the same guidelines apply. If they have bottomed out and begun to rise on their own, then I would wait longer to retest, or wait until deficiency symptoms appear. They may never appear.
Tingling of toes and fingers is usually one of the first symptoms.

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