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But heres what many people dont realize: once your kidney function drops below that 60 mark, B12 processing becomes less predictable

These include gastrointestinal disorders, such as Crohns disease or celiac disease, and surgeries like gastric bypass that alter the digestive tract

That pressure is what causes the classic symptoms: localized pain, radiating pain down a leg (sciatica) or arm, numbness, tingling, and muscle weakness