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If there is a lack of cobalamin in the body, methylmalonyl CoA accumulates, which presumably leads to the neurological manifestations of B12 deficiency.[4][7][9][12] The replenishment with parenteral cyanocobalamin causes a rapid and complete improvement of megaloblastic anemia and gastrointestinal symptoms caused by vitamin B12 deficiency

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The NIH notes that vitamin B12 deficiency can cause fatigue, anemia, and neurological changes such as numbness or tingling, which is why visit context matters more than simply ordering a wellness shot online

It may activate some of the same androgen receptors as testosterone, but it does not restore normal testosterone lev