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Symptoms of B12 deficiency include a pale, yellowish tinge to your skin, sore and red tongue (glossitis), mouth ulcers, pins and needles (paraesthesia), mobility changes, weak muscles, numbness, disturbed vision, irritability, depression, cognitive changes such as memory, understanding and judgement

Recently, Matheis et al

If this is the case, then oral vitamin B12 supplementation may not be enough

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[DOI] [PMC free article] [PubMed] [Google Scholar] 212.Giaime E., Sunyach C., Druon C., Scarzello S., Robert G., Grosso S., Auberger P., Goldberg M.S., Shen J., Heutink P., et al

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