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Furthermore, It results in abdominal bloating

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Signs of Vitamin B12 deficiency Persistent tiredness or weakness Pale or yellowish skin Shortness of breath on exertion Loss of appetite Pins and needles (especially in hands or feet) Poor concentration or brain fog Low mood or anxiety Glossy, sore tongue Left untreated, B12 deficiency can lead to pernicious anaemia , a condition that requires medical management

This is an example of how protocols evolve based on the patient's changing needs over time