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Symptoms of vitamin B12 deficiency Some of the symptoms that can be caused by a lack of vitamin B12 include: Poor appetite Anemia Fatigue Weakness Numbness or tingling in the hands or feet Difficulty with balance Vitamin B12 deficiency can also contribute to depression, cognitive impairment, and dementia

A: Side effects are rare, but high doses of either form can cause mild symptoms like dizziness or headaches in some individuals

Folate (B9) Target: Aim for upper third of local reference range Why it matters: B12 therapy increases demand on folate pathways and can expose low stores

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