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Symptoms of vitamin B12 and folic acid deficiency anemia include: Shortness of breath Headache Indigestion Loss of appetite Heart palpitations Vision problems Feeling weak or tired Diarrhea Pain or redness of the tongue, sometimes with mouth sores Problems with memory, comprehension, and judgment (cognitive changes) Some of these symptoms may also occur in people who are deficient in vitamin B12 or folic acid but are not anemic

Reactions of this type are more often related to preservatives in some solutions than to the vitamin itself, which is why we use high-quality formulations

Pharmacological treatments are reserved for specific circumstances and limited to licensed medications with demonstrated efficacy and safety profiles, such as orlistat or semaglutide (NICE TA875)

Malabsorption disorders In this disorder, it is difficult for the body to absorb useful nutrients including vitamin B12, through the gastrointestinal tract

There is a suggestion that B12 supplementation may be useful for those who are already significantly deficient in B12, but doesn't do much for those who are not