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Common Symptoms May Include: Persistent fatigue or weakness Brain fog or difficulty concentrating Rapid heartbeat Shortness of breath with exertion Mood changes Numbness or tingling (advanced cases) Individuals at Higher Risk: Vegetarians and vegans Patients with celiac disease or other malabsorption disorders Those taking acid-reducing medications (PPIs, H2 blockers) Long-term oral contraceptive users Individuals with heavy alcohol use Patients with pernicious anemia Individuals with chronic gastrointestinal conditions Deficiency can negatively impact metabolism, neurologic function, and immune health if left unaddressed

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