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Symptoms of vitamin B12 deficiency include (1): chronic fatigue shortness of breath heart palpitations tingling or numbness in the extremities poor balance loss of concentration poor memory disorientation mood changes incontinence insomnia People most at risk of developing a deficiency include older adults, as well as those who smoke, abuse alcohol, or follow a vegetarian or vegan diet

Most patients notice significant improvement in symptoms within days to weeks after the procedure

Cycling Schedules and Study Duration Design dosing cycles to include both active phases and washout periods

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