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Understanding its potential causes and knowing how to evaluate and manage elevated B12 levels is key for both clinicians and patients

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Symptoms of severe vitamin B12 deficiency can include visual disturbances, severe joint pain, paresthesia (tingling in the hands and feet), memory problems, depression, anxiety, poor muscle function, ataxia (impaired balance and coordination), changes in reflexes and even infertility

PMID 28938471

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doi:10.1056/NEJMoa2502081