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Decreased cognitive function, fatigue, lethargy, fainting, depression or irritability, headache, balance issues, and other symptoms are all possible side effects of B12 deficiency

[DOI] [Google Scholar] Berendsen H

Per AAP coding guidance, 90460 applies when a physician, NP, or PA counsels the patient or caregiver during a vaccine visit

No evidence suggests that optimizing b12 status accelerates weight loss beyond what would occur with adequate nutrition overall

Diets lacking in vitamin B12 and folate - in particular vegan diets and those low in fresh fruit and vegetables are at risk of vitamin B12 and folate deficiency
