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The right approach depends on your goals, health history, and whether you are addressing general wellness or a known deficiency under medical guidance

Symptoms of a B12 deficiency include: Excessive fatigue Nerve problems (pain or abnormal sensations like numbness or tingling) Glossitis (tongue inflammation) Low numbers of white blood cells and red blood cells Vitamin B12 deficiency can be diagnosed with a blood test

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Springer US, Boston, MA (1979)