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These include: Pale or jaundiced skin Extreme tiredness and lack of energy Pins and needles, muscle weakness, cramping, impaired balance Cognitive issues such as anxiety, depression, 'brain fog', psychosis and dementia Red, inflamed tongue Blurred vision What does vitamin B12 do

2008 May;66(5):250-5

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Therefore, it is important to maintain adequate Vitamin B12 levels to avoid permanent neurological affects