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If you're not getting enough B12, you can experience anemia, fatigue, weakness, constipation, decreased appetite, weight loss, dizziness, lightheadedness, confusion, poor memory, soreness of your tongue and mouth, and tingling and numbness in your hands and feet, according to Harvard Health Publishing

Identification of nicotinamide N-methyltransferase as a promising therapeutic target for sarcopenia

Some feel mental clarity or energy the same day