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These include: Tingling, numbness, or a 'pins and needles' sensation in the hands and feet Difficulty with balance and coordination Muscle weakness Memory problems, difficulty concentrating, or 'brain fog' Mood changes, including low mood or irritability Important: New or worsening neurological symptoms such as paraesthesia, gait disturbance, or cognitive change should be treated as urgent

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Inhibition of preadipocyte proliferation by mitochondrial reactive oxygen species

Some genetic variations result in impaired absorption of B12, resulting in high blood levels, but low levels available to cells