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If left untreated, it can lead to Heart palpitations and shortness of breath Weakness, tiredness, or lightheadedness Pale skin Vision loss Constipation, diarrhea, loss of appetite, or gas A smooth tongue Depression Memory loss Behavioral changes Numbness or tingling Muscle weakness Problems walking not trying to give you the wobbles here!), low levels of B12 can be linked to the development of pernicious anemia, dementia, or osteoporosis

Patients should be offered this alternative after an informed discussion on the advantages and disadvantages of both treatment options. oral vitamin B12 is an effective alternative to vitamin B12 IM injections Cochrane Review

Use caution if you have renal impairment or conditions like polycythemia vera and Leber's optic atrophy

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Taken together, in contrast to obese mice, infiltration of immune cells is not enhanced in Cpt1b m/ muscle despite excess amounts of metabolic stimuli such as FA

Always seek professional guidance