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Some common signs and symptoms include: Decreased cognitive function, such as issues with memory or understanding Fatigue Lethargy Constipation Feeling faint Depression or irritability Headache Difficulty maintaining balance Sore, swollen tongue, which may be pale yellow or very red Heart palpitations Mouth ulcers Par anesthesia (pins and needles) Vision changes B-12 deficiency risk factors Both diabetes and some medications for type 2 diabetes can increase the risk of vitamin B-12 deficiency

Helpful Patient Education Cyanocobalamin Injection, USP is a vitamin B12 injection used for vitamin B12 deficiency related to malabsorption, including pernicious anemia and certain gastrointestinal conditions

In epi-CblC, an epimutation leads to a splicing variant in the adjacent PRDX1 gene causes transcriptional silencing of MMACHC (Yu et al., 2013)

Most commercial products target the 0.5 to 1 percent range

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