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Food and Drug Administration) Dietary deficiency of vitamin B 12 occurring in strict vegetarians and in their breastfed infants (isolated vitamin B 12 deficiency is very rare) Malabsorption of vitamin B 12 resulting from damage to the stomach, where intrinsic factor is secreted, or damage to the ileum, where intrinsic factor facilitates vitamin B 12 absorption

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When levels of B12 are low, these vital processes falter, leading to symptoms like profound fatigue, muscle weakness, tingling, and cognitive issues

These active forms are crucial for several metabolic pathways in the body