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Nencini C, Giorgi G, Micheli L

A deficiency of vitamin B12 can also cause shortness of breath or heart palpitations, as well as gastrointestinal symptoms including constipation, diarrhea, appetite loss, or gas

There is an association with gastric antral vascular ectasia (which can be referred to as watermelon stomach), and pernicious anemia

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Most side effects are transient and manageable via dose adjustment in research
