Other signs may include shortness of breath, pale skin, stomach problems, such as constipation, diarrhea or gas, or nerve problems, like muscle weakness or tingling in fingers or toes. Over time, a deficiency of B12 can cause problems with balance, confusion, depression, poor memory and possibly dementia, and it can even cause permanent damage to the nervous system, Somers says
Grimmig B, Hudson C, Moss L, Peters M, Subbarayan M, Weeber EJ, Bickford PC (2019) Astaxanthin supplementation modulates cognitive function and synaptic plasticity in young and aged mice
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Generalizability The findings of this economic analysis cannot be generalized to all patients with vitamin B12 deficiency
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