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Signs and symptoms of vitamin B12 deficiency can include fatigue, pale skin, headaches, shortness of breath, fast heartbeat, gastrointestinal issues, mouth inflammation, paresthesias (abnormal sensations), decreased cognitive ability, depression, muscle weakness, imbalance and incoordination, vision problems, and erectile dysfunction

[34] Our gut microbiome plays a role in iron uptake and absorption, so compromised gut function can impair iron levels

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The injections sit in the muscle tissue as kind of a reservoir and slowly leak out over time into the blood, explains Joshua Miller, Ph.D., a B12 researcher, and professor and chair in the Department of Nutritional Sciences at the School of Environmental and Biological Sciences at Rutgers University

Scientific References Vitamin B12 deficiency in over 16s: diagnosis and management (NG239)

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