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Common symptoms of a Vitamin B12 deficiency include pale skin, extreme tiredness, dizziness, breathlessness, lethargy, headaches, loss of appetite, unexpected weight loss, and heart palpitations

People with malabsorption are more likely to have B12 deficiency

B12 is an important nutrient that is often used as a nutritional supplement, even by those without a B12 deficiency

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Because of these factors, laws worldwide define which drugs are prescription only. For example, in the United States the Food and Drug Administration (FDA) designates drugs as Rx only (meaning prescription required) if they are not safe for self-medication

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