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This is due to wide variations in absorption rates

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As I elaborate on in my video The Symptoms of Vitamin B12 Deficiency , these include: Abdominal distention Chronic diarrhea Shortness of breath Swollen, red, painful feet Skin darkening Bilateral useless hand syndrome Numbness and tingling in the hands and feet Muscle cramps Dizziness Cognitive disturbances Difficulty walking Erectile dysfunction Fatigue Depression Psychosis Coma Blindness Vitamin B12 Deficiency Treatment Is A Vitamin B12 Shot Better Than Taking B12 Orally

Energy Production and Mitochondrial Function: Adenosylcobalamin acts as a coenzyme for methylmalonyl-CoA mutase, converting methylmalonyl-CoA to succinyl-CoA in the citric acid cycle