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Common signs and symptoms include the following: Cognitive issues, especially those that deal with memory Extreme fatigue Depression Frequent headaches Problems with maintaining balance Changes in vision Megaloblastic anemia Heart palpitations Pale skin Weight loss Infertility Numbness and tingling in the hands and feet A sore tongue Low appetite Constipation Vitamin B12 Deficiency Risk Factors You have a higher risk of developing vitamin B12 deficiency if you have specific health problems

Dean, Sina Gallo & Alex K

Not misusing nitrous oxide

Translational Medicine Research Foundation of Anhui Province (2021zhyx-B08)

Who Should Check with a Doctor First Pregnant or breastfeeding women Anyone with existing liver or kidney conditions People currently on regular medication The Simple Rule to Follow Stick to the recommended dosage on the label