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Discard any vial showing contamination, damage, or discoloration

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Symptoms of vitamin B12 deficiency Some of the symptoms that can be caused by a lack of vitamin B12 include: Poor appetite Anemia Fatigue Weakness Numbness or tingling in the hands or feet Difficulty with balance Vitamin B12 deficiency can also contribute to depression, cognitive impairment, and dementia

Center on protein, fiber, and portion control, and maintain a feasible exercise routine of at least 150 minutes of moderate aerobic activity per week along with two resistance sessions