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These are not edge cases

The symptoms are: Lethargy Depression Mouth ulcers Pale yellow skin Disturbed vision Fatigue Breathlessness Palpitations Loss of appetite Weight loss Headaches A decline in mental abilities Irritability It is always best to consult an expert whether you need vitamin B-12 injections or supplements

Adding vasoconstrictors can make anesthesia last longer by reducing blood flow

My book "Don't B12 Deficient" walks through it
