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Systemic symptoms such as upper respiratory tract infections, vomiting, persistent diarrhea and abdominal pain, respiratory failure, hyperlactatemia and hyperkalemia can also be present [16, 17]

B12 helps convert food into energy more efficiently and supports healthy metabolism, potentially aiding in weight management efforts

Incorporate stress management and moderate exercise to support overall wellness

11 Its also important to note that taking B12 in combination with vitamin B6 and folate (rather than alone) is shown to be most effective for regulating homocysteine levels for some patients and preventing the combined risk of stroke, myocardial infarction (heart attack), and damage to heart cells

The causes include bowel diseases, gastritis, certain medications, and decreased absorption in old age