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The first-line test is serum vitamin B12 measurement , with levels below 148 pmol/L generally considered deficient, though the exact threshold varies between laboratories

The study looked at different patients admitted to hospital for a variety of painful symptoms caused by a vitamin B12 deficiency The study noted: Patient D is a 33-year-old woman with a history of fatigue, inertia, indolence, paraesthesia in her hands and feet, difficulties concentrating, problems with remembering things, and word finding disturbances

PMID 26288227

Talk to your doctor if you experience any allergic symptoms like: Hives Swelling of the face, lips and tongue Difficulty breathing Side effects on high dosing If you take very high doses of vitamin B12, above the RDA values, you might experience additional side effects like: Headaches Dizziness Nausea Vomiting It is crucial to stay within the recommended dosage range to avoid these issues

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