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Associated symptoms of B12 deficiency include: Fatigue Pale or yellow skin Headaches Depressive symptoms Gastrointestinal symptoms Difficulty concentrating and other impaired cognitive function Cognitive decline Pain and inflammation of mouth and tongue Paresthesia (burning or pins & needles sensation) in hands and feet Muscle cramps and weakness Impaired coordination Erectile dysfunction Vision issues Let’s break some of these down

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By contrast, chronic cases involving multi-year degeneration, repetitive overuse, failed rehabilitation histories, structural instability, or longstanding inflammatory cycles usually took longer, and the results were inconsistent