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A vitamin B12 deficiency doesnt directly cause hearing loss, but it may impair auditory (and whole-body) nerve function

Why Do I Feel Worse After My B12 Injection
Tip: Eating smaller, protein-rich meals and staying hydrated can significantly reduce GI discomfort

This was established as an important research question to be funded as part of the James Lind Alliance priority-setting partnership with the Pernicious Anaemia Society