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Moderate, not strictly low, fat intake in most patients — current thinking has moved away from very low-fat diets, because PERT (when prescribed) allows fat to be digested, and severe fat restriction can worsen weight loss and vitamin deficiencies

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Possible signs of low Vitamin B12 may include: Fatigue or low energy Weakness Numbness or tingling sensations Difficulty walking or balance issues Mood changes Decreased appetite Digestive symptoms A smooth, tender tongue These symptoms can also be caused by other health conditions, so it is important to speak with a healthcare provider if you have ongoing symptoms or concerns about Vitamin B12 deficiency