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The best approach depends on medical history, weight loss goals, risk tolerance, and provider recommendations

see our BUN and creatinine ratio guide for the pattern logic

If youre proactive about your health, you could be an ideal candidate

Common signs and symptoms include the following: Cognitive issues, especially those that deal with memory Extreme fatigue Depression Frequent headaches Problems with maintaining balance Changes in vision Megaloblastic anemia Heart palpitations Pale skin Weight loss Infertility Numbness and tingling in the hands and feet A sore tongue Low appetite Constipation Vitamin B12 Deficiency Risk Factors You have a higher risk of developing vitamin B12 deficiency if you have specific health problems