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Common signs include: Fatigue Weakness Anemia Pale or yellowish skin Numbness or tingling in the hands and feet Difficulty with balance Glossitis (a swollen, red tongue) Memory or concentration difficulties If you suspect you may have a vitamin B12 deficiency, consult your healthcare provider for appropriate testing and personalized recommendations

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Doctors should look at genetic tests and each patients situation to find the right dose

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Others suffer from gastrointestinal issues such as loss of appetite and constipation

If your serum B12 is unexpectedly high despite supplementing at recommended doses, the first step is to investigate rather than immediately reduce your supplemental dose