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If your body doesnt have enough B12, you may experience symptoms such as fatigue, weakness, or even anemia

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REFERENCES Manifestations of fatigue that may occur when status or supplies of these micronutrients are not adequate. Consuming adequate intakes of vitamins and minerals contributes to maintenance of normal cognitive function and to enhanced well-being by decreasing perceived mental and physical fatigue and favoring positive mood

Much of it is excreted through urine

Lyophilized vials that have not yet been prepared should be stored in a cool, dry environment away from direct sunlight, moisture, and excessive heat