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Because they are unable to get it

Common Symptoms of a Vitamin B12 Deficiency If you think you may be low, watch out for these symptoms: Feeling tired, fatigue and weakness Loss of appetite Constipation Weight loss Megaloblastic anemia Numbness and tingling Poor balance or coordination Confusion Memory loss Depression (21) Soreness of mouth and/or tongue (22) Be aware that many symptoms of B12 deficiency overlap with symptoms of other health conditions, so it's important to see your doctor for a definitive diagnosis

Formula: Small-molecule NNMT inhibitor

It is not available as an investigational new drug through any active U.S

For that reason, buy your injectable B12 in dry form and keep it that way for as long as you can