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Patients with complicated disease, or high-risk features, include: Patients with fistulas (connections between the intestinal tract and another place)

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Make sure he takes all his pill bottles (including vitamins and minerals) along, just in case he is getting too much vitamin B12 from the supplements he is taking

Although incorporating a good variety of vitamin B12 foods in the diet can help most people meet their needs for cobalamin, supplementation is sometimes necessary for those who may have underlying health conditions or take certain medications

There is no quick fix it is going to take time to heal the nerve damage that has occured