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It may be that the process of testing for pernicious anaemia is being overlooked and that interval tests are not being done for borderline cases with minimal/non-specific symptoms

With insufficient levels of B12, one can easily experience: Failing memory Inability to make new memories stick Cloudy thinking Interference in concentration Low mental endurance Dementia-like cognitive decline Increased depression and/or anxiety Sudden dizziness or vertigo Improves Metabolism And Helps With Weight Loss A deficiency of the B12 vitamin causes anemia

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How long does b12 take to work