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These may include: ( 4 ) Fatigue or lack of energy Brain fog or trouble concentrating Irritability or mood swings Pale skin or shortness of breath Tingling in the hands and feet Difficulty walking or staggering Anemia Swollen or inflamed tongue A B12 deficiency in men may also contribute to low testosterone, weight gain, and poor exercise recovery—making it a hidden factor in many men’s health concerns
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For those with chronic absorption issues like pernicious anemia , lifelong injections every 2 to 3 months are common
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