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Common signs you may need B12 supplementation include: Dry lips Fatigue Glossitis (swollen tongue) Heart palpitations Pale skin Shortness of breath with exertion (activity) Low levels of B12 can also impair nerve function and cause neurological symptoms, such as: Difficulty walking Dizziness Headaches Memory problems Tingling or numbness in the hands and feet Talk to a healthcare provider if you have signs of a B12 deficiency

It works on the output side of the energy balance equation: it modifies how the body handles the fat tissue once the caloric environment has produced a deficit

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