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People with absorption issues need supplementation even with adequate dietary intake

Biophys Chem 115:267276

Storage Guidelines: Prior to reconstitution, the lyophilized powder is highly stable and should be stored away from light at -20C

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

If youre struggling, I suggest you contact your doctor and B12 deficiency support forums

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