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A deficiency in B12 can slow down your metabolism, making it harder to shed pounds even when youre eating right and exercising
They include: Fatigue and weakness Shortness of breath Pale or yellowish skin Neurological changes, such as numbness or tingling in the hands and feet These symptoms can really affect your life
Patients should be informed of the pros and cons of oral versus parenteral therapy, and regardless of the form of treatment, those with pernicious anemia or malabsorption should be reminded of the need for lifelong replacement
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