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These conditions include megaloblastic anemia, neurological disorders, cognitive decline, cardiovascular issues, and complications during pregnancy (Figure 2), among others

That said, even slightly lower-than-normal levels of vitamin B12 can trigger symptoms

If your B-12 levels are low, your doctor will help you create a plan to address the deficiency

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Vitamin B12, also known as cobalamin , is an essential water-soluble vitamin that supports several vital functions in the body: Red blood cell production Nervous system health DNA synthesis Energy metabolism Many people with fatigue, brain fog, or poor nutrient absorption are deficient in B12particularly those with gastrointestinal conditions (like IBS or celiac disease), vegans and vegetarians, or individuals taking certain medications like metformin or proton-pump inhibitors

At 20-25 degrees Celsius, degradation accelerates significantly