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Common symptoms of vitamin B12 deficiency: Fatigue and a subjective feeling of low energy levels Hair loss and changes in skin color (usually manifests as pale skin) Brain and cognitive issues like decreased memory, depressive-like symptoms, mood changes, and brain fog Shortness of breath or difficulty with sustained exercise Megaloblastic anemia Depression and even a dementia-like syndrome can be confused with Alzheimers Nerve conditions like nerve pain and peripheral neuropathy Why are the symptoms so diverse

Alternatively, making small batches and storing refrigerated can extend shelf life without preservatives

I stopped taking it at that point and instead started using just one a month, which seemed like it gave me a small boost at high points in training

The form of B12 used can affect the cost as well