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On the other hand, if a vitamin B12 deficiency does occur, it is associated with several undesirable health risks, some of which are as follows: shortness of breath heart palpitations tingling or numbness in the extremities poor balance mood changes incontinence insomnia loss of concentration poor memory chronic fatigue Those who smoke cigarettes, consume excessive amounts of alcohol, or adhere to a vegetarian or vegan diet are at a greater risk of acquiring a nutritional deficiency than younger adults

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Some people may experience mild side effects such as soreness, redness, swelling, or tenderness at the injection site

[38] [39] It enables the interconversion of cyano- and alkylcobalamins

There was a positive trend in the Composite SLE Responder Index in the Intention-to-treat (ITT) cohort, and post-hoc analysis showed that the BILAG secondary endpoint was met for a number of subgroups dosing levels, including low or no steroids, seropositivity, and patients with 2 grade BILAG improvement