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As the condition worsens, common symptoms include: Weakness and fatigue Light-headedness and dizziness Palpitations and rapid heartbeat Shortness of breath A sore tongue that has a red, beefy appearance Nausea or poor appetite Weight loss Diarrhea Yellowish tinge to the skin and eyes If low levels of B12 remain for a long time, the condition also can lead to irreversible damage to nerve cells, which can cause the following symptoms: Numbness and tingling in the hands and feet Difficulty walking Muscle weakness Irritability Memory loss Dementia Depression Psychosis Diagnosis Your doctor will ask you about your diet and about any family history of anemia

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Adults can completely fail to absorb the vitamin administered orally

This is why the 3ml dilution works best for people who plan to stay at lower doses throughout their protocol