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Symptoms that may indicate low Vitamin B levels include fatigue, depression, low blood pressure, constipation, memory loss, weakness, sore tongue, tingling and numbness in fingers and toes, mood changes and difficulty walking

Likewise, excessive inactivity doesnt just come as a side effect of depression

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Advanced research protocols also track NAD+ levels via blood assay, respiratory exchange ratio (RER) during exercise to measure substrate utilization, and adiponectin levels as a marker of metabolic health

Those who underwent a gastric bypass may have compromised their stomachs ability to release B12 from food