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Symptoms of vitamin B12 deficiency include: Anemia Intestinal disorders and weight loss Fatigue, weakness, lightheadedness Memory loss or confusion Depression or dementia Rapid heartbeat and respiration Mouth or tongue soreness or bleeding Excessive bruising Injections are the most effective means of administration of vitamin B12 since they do not depend on the body's ability to absorb the substance through the gastrointestinal tract

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Gonzalez JM, Bowden CL, Katz MM, et al

This damage often underestimated, extends beyond mere irritation to a profound impact on the stomachs ability to function optimally