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Reference ranges vary slightly between laboratories, but the general framework used by most U.S

Common signs of B12 deficiency include fatigue, weakness, pale skin, shortness of breath, numbness or tingling in the hands and feet, difficulty maintaining balance, and cognitive issues like memory problems

Doctors should look at genetic tests and each patients situation to find the right dose

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Vitamin B12 therapy is considered to be rather safe, and hypersensitivity reactions have been described very rarely, usually after parenteral administration