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doi: 10.1016/j.jand.2020.05.012 Heydari J., Jafari M., Khazaie S., Goosheh H., Ghanei M., Karbasi A

Deficiency can lead to megaloblastic anemia, causing exhaustion, pale skin, breathing difficulties, dizziness, and rapid heartbeat

The reduced auditory input from the cochlea by initial peripheral deafferentation and consequently reduced firing rates in the cochlear nerve may cause increased spontaneous activity in the auditory pathway 6,7