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Wirth, F

Tsukamoto M, Niimi N, Sango K, Takaku S, Kanazawa Y, Utsunomiya K

This can lead to lower blood pressure over time

When vitamin B12 levels become too low, it can lead to symptoms such as: Fatigue or low energy Weakness Numbness or tingling in the hands and feet Memory or concentration problems If vitamin B12 deficiency is severe or lasts a long time, it can lead to nerve damage

Common adverse effects include gastrointestinal symptoms such as nausea, vomiting, diarrhea, and constipation, which typically diminish over time with continued use