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Symptoms of vitamin B12 deficiency include (1): chronic fatigue shortness of breath heart palpitations tingling or numbness in the extremities poor balance loss of concentration poor memory disorientation mood changes incontinence insomnia People most at risk of developing a deficiency include older adults, as well as those who smoke, abuse alcohol, or follow a vegetarian or vegan diet

Ensuring the proper storage and transportation of these medications is crucial to maintain their effectiveness and integrity during the journey

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The real question is not how long you should stay on it, but what happens when you stop, and whether the benefits justify long-term use