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While B12 can be found in foods like meat, fish, and dairy, some people struggle to absorb enough through diet alone

The many faces of B12 deciency include neurologic symptoms such as numbness and tingling in the hands and feet, muscle cramps, dizziness, cognitive disturbances, difficulty walking, erectile dysfunction, as well as fatigue and psychiatric symptoms like depression and even psychosis. In addition to these more spectacular symptoms, B12 deficiency over time is associated with a rise in homocysteine in the blood, an amino acid that, when elevated, leads to a hardening and thickening of artery walls

When low B12 is found, the next step is usually to confirm the cause

This is because they have less body strength and may have other health problems

The metabolic marker of B12 is Methylmalonic Acid, often referred to as MMA

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