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Underlying Health Conditions: Conditions like pernicious anemia, Crohns disease, or celiac disease can affect B12 absorption and necessitate ongoing treatment

the later dosing and titration sections explain why response and tolerability matter more than advancing on a fixed calendar

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Common signs may include: Persistent fatigue or low energy Difficulty concentrating Mood changes Weakness or dizziness Tingling in the hands or feet Individuals who follow restrictive diets or have certain digestive conditions may be more likely to experience low vitamin B12 levels