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People with low B12 may experience: Persistent fatigue or low energy Weakness Brain fog, concentration issues, or memory changes Low mood or irritability Pins and needles, numbness, or nerve-type sensations Mouth ulcers or a sore tongue Paleness or shortness of breath (if anaemia is present) Some symptoms can become more serious if deficiency is prolonged, particularly neurological symptoms

An absence of intrinsic factor is the most common cause of pernicious anemia

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Avoid evening administration, as the increased energy levels may interfere with sleep in sensitive individuals

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