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Vitamin B12 also affects the interactions among bacteria living in the gut microbiome, and in many cases, an imbalanced gut microbiome may be at the root of a B12 absorption problem

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[6] [25] At levels only slightly below normal, deficiency can result in fatigue, headaches, feeling faint, rapid breathing, pale skin, numbness or tingling, poor appetite, heartburn, poor balance, difficulty walking, poor reflexes, blurred vision, memory problems, depression, irritability, inattention, cognitive decline, dementia, and even psychosis