Timing relative to exercise also matters
Anemia associated with B12 deficiency can cause your skin to look pale due to a lack of fully mature, healthy red blood cells in the body
Clinical signs of B12 deficiency include nausea, vomiting, loss of appetite, poor absorption of food (malabsorption syndrome), constipation, gas, weight loss, fatigue, lethargy, abdominal pain, and diarrhea
Gastrointestinal symptoms: alteration in bowel motility, such as mild diarrhea or constipation, and loss of bladder or bowel control
The daily dose most likely to prevent harmful side effects in the general population is known as a Tolerable Upper Intake Level (UL)