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When your levels are low, your body struggles to keep up, and tiredness is usually the first sign

Declining B12 despite supplementation may indicate an absorption issue requiring higher-dose supplementation

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You may be vitamin B deficient if you experience some or all of the following unexplained symptoms: Skin cracks around the mouth Scaly lip skin Skin rashes Fatigue Anemia Depression or irritability Confusion Diarrhea or constipation Abdominal cramps Tingling or numbness in your feet and hands Vitamin B12 deficiency is particularly serious, as it increases your risk for neuropsychiatric disorders

It is important to screen for Vitamin B12 deficiency because early detection through screening can prevent the symptoms and their progression

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