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In people whose vitamin B12 deficiency is related to overgrowth of intestinal bacteria, treatment with oral antibiotics, such as tetracycline (sold under several brand names), may stop bacterial overgrowth and allow the absorption of vitamin B12 to return to normal

If you experience worsening neurological symptoms such as increasing weakness, loss of balance, or new symptoms, this requires prompt medical assessment rather than being considered part of normal adjustment

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