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The most widespread indicators include unexplained muscle weakness, a constantly sore or swollen tongue, chronic brain fog, tingling sensations or pins and needles in your hands and feet, persistent mood shifts, and a pale or yellowish skin tint

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In more rare yet severe cases, you may experience irregular heartbeat or trouble breathing

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When the body cant properly absorb B12 from food or supplements, symptoms like fatigue, brain fog, and low mood can develop

Implications in practice As there is no apparent clinical significance, the treatment should depend on the patients condition