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Use within 14 days for optimal stability

A vitamin B12 deficiency can lead to megaloblastic anemia, a condition characterized by a low number of red blood cells that are larger than normal ( Megaloblastic anemia can cause a variety of symptoms and side effects, including ( shortness of breath headache heart palpitations fatigue poor balance memory loss That said, being low in vitamin B12 doesnt always lead to megaloblastic anemia, and many people may only experience mild symptoms like fatigue ( Furthermore, while a deficiency in vitamin B12 may not cause weight gain, it can decrease energy levels and contribute to fatigue, making it harder to stay active and manage your weight

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When to see a doctor Signs that warrant a doctors review Unexplained weight loss Night sweats Unusual bruising or bleeding Persistent fatigue together with an abnormal full blood count Yellowing of the skin or eyes, or swelling of the abdomen A high B12 in someone taking no supplements, no injections and no fortified products Outside these situations, a high B12 in someone who takes a supplement is not an emergency