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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

A switch to DOR may thus be an interesting treatment option where weight gain is a concern

(PubMed) Kivipelto M, Annerbo S, Hultdin J, et al

Consulting with a healthcare professional and carefully weighing the pros and cons are crucial steps in making an informed decision