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Low levels of vitamin B12 can lead to fatigue and anemia in milder cases. More serious deficiencies have the potential to impair heart and neurological function, leading to a wide range of serious symptoms, including but not limited to tinnitus, severe joint pain, memory problems, depression, anxiety, poor muscle function, ataxia and changes in reflexes. Infertility can also occur in individuals with insufficient B12. Early intervention and treatment of deficiencies are key to maintaining healthy bodily function.

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