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Persistent fatigue and low energy Poor concentration and mental fog Heart palpitations due to reduced red blood cells Numbness or tingling in the hands and feet Balance issues and coordination difficulties Mood changes, including irritability or depression Tip: Tingling, numbness, or balance problems should be assessed early because long-term B12 deficiency may affect nerve health

[DOI] [PubMed] [Google Scholar] 40.Bromberg A., Lerer E., Udawela M., et al

While vitamin B12 can be obtained through a healthy balanced diet, people with certain health conditions, such as gastrointestinal problems, infection, and cancer, can diminish the bodys ability to properly absorb ingested vitamin B12

Liu et al

You start low and gradually increase over weeks or months