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Low levels can cause: Tingling or numbness in hands and feet Difficulty walking or balance problems Muscle weakness Memory problems Poor concentration Mood changes (depression, irritability) Cognitive decline in severe cases Other B12 deficiency signs Sore or red tongue Mouth ulcers Vision disturbances Dizziness Cold hands and feet Causes of Vitamin B12 Deficiency Vitamin B12 deficiency happens either due to low intake or poor absorption

In the case of getting coverage for surgery or medication, you may need documentation from your doctor that youve already tried RICE therapy and that further treatment is medically necessary

According to Smith and Refsum (2021), homocysteine values of 10mol/L are probably safe in adults but for levels 11mol/L or above there may be a risk for adverse effects, justifying intervention

Researchers prioritize documentation and batch consistency