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Pale or yellowish skin, shortness of breath, or heart palpitations These can indicate megaloblastic anemia, a more advanced consequence of prolonged B12 deficiency

Body Composition Changes: More significant changes, such as a reduction in body fat or noticeable weight loss, typically occur over a period of 48 weeks

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When B12 levels are low, fatigue, weakness, poor focus, and low mood can become more noticeable

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