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Robotic simple prostatectomy is a minimally invasive option for patients with very large prostates with a greatly reduced risk of complications like incontinence and sexual dysfunction

More severe side effects include: Advertisement It can be difficult to diagnose vitamin B12 deficiency because you may not have symptoms, or symptoms can be like other nutritional deficiencies

The degradation process itself involves several chemical pathways

In pernicious anaemia, the immune system mistakenly attacks the gastric parietal cells that produce intrinsic factor, leading to B12 deficiency over time

In severe cases of BPH, surgical intervention may be necessary, such as transurethral resection, in which excess prostate tissue is removed, enucleation of the prostate and open prostatectomy