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Without enough B12, red blood cells are not as efficient in transporting oxygen to cells throughout the body, causing fatigue and muscle weakness

Vitamin B 12 (cobalamin) deficiency is a common cause of megaloblastic anemia, a variety of neuropsychiatric symptoms, and elevated serum homocysteine levels, especially in older persons

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Its also needed for fatty acid metabolism and amino acid metabolism , which are key for energy and healthy tissues

those with adequate levels may notice subtler benefits