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The deficiency can arise due to improper diet or the inability to absorb the vitamin through natural means

The first signs of B12 deficiency include persistent fatigue, weakness, lightheadedness, pale skin, tingling or numbness in the hands and feet, difficulty concentrating, and mood changes like irritability or mild depression

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doi: 10.1016/S2352-3018(19)30338-8 75 ClemmonsDRMillerSMamputuJC
