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Numb or tingling facial feelings Your body uses B12 to keep nerve pathways working

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Globally, B12 deficiency affects a significant portion of the population, ranging from 6% in some groups to as high as 20% in older adults

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57 , 58 Cobalamin deficiency causes a decrease in hemoglobin levels, characterizing megaloblastic or pernicious anemia with manifestations that include skin pallor, decreased energy and exercise tolerance, fatigue, shortness of breath, and palpitations