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2018 Feb;38(1):174-183

Symptoms Of Vitamin B12 Deficiency fatigue brain fog tingling or numbness in extremities anemia shortness of breath with exertion or exercise anxiety dizziness or loss of balance weakened bones spotty vision low stomach acid impaired digestion constipation or diarrhea hair loss psychosis, bipolar disorder memory loss, Alzheimers, dementia learning disorders in children or autism cardiovascular disease depression insomnia hormone imbalances nerve damage multiple sclerosis (MS) a smooth, thick, red tongue seizures weight gain or weight loss inflammation changes in skin pigmentation cancer H

In some cases, high-dose daily oral B12 supplements (typically 1000 g daily) can also be used as an effective alternative or addition for maintenance therapy [9] [10]