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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

Individuals taking certain medications may interfere with B12 absorption over time

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Baseline scan before starting, follow-up at 6-8 weeks, and final assessment at protocol completion enable accurate fat loss quantification

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