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Injections bypass the gastrointestinal tract and are the standard treatment for pernicious anaemia and severe deficiency in the UK

Symptoms of vitamin B12 deficiency include (1): chronic fatigue shortness of breath heart palpitations tingling or numbness in the extremities poor balance loss of concentration poor memory disorientation mood changes incontinence insomnia People most at risk of developing a deficiency include older adults, as well as those who smoke, abuse alcohol, or follow a vegetarian or vegan diet

These positive effects include preserving muscle, improving recovery, and rejuvenation

Mouse studies reported changes in liver fat, inflammation and histology