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Other symptoms of vitamin B12 deficiency include: Rapid breathing or shortness of breath Headaches Indigestion Diarrhea Loss of appetite Problems with vision Feeling weak or tired Psychological problems, which can range from mild depression or anxiety to confusion and dementia Blood tests are the most common way to diagnose a vitamin B-12 deficiency

The cognitive benefits may arise partly from improved sleep rather than direct nootropic mechanisms

[DOI] [PMC free article] [PubMed] [Google Scholar] 78.Loomba R., Abdelmalek M.F., Armstrong M.J., Jara M., Kjr M.S., Krarup N., Lawitz E., Ratziu V., Sanyal A.J., Schattenberg J.M., et al

Steady State Steady state refers to the state of drug concentration in the body when the concentration of drug is no longer rising or falling