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Symptoms of low levels of Vitamin B12 in your body include anemia, weakness, fatigue, heart palpitations, pale skin, constipation, diarrhea, bloating, loos of appetite, nerve problems such as tingling or numbness, muscle weakness, loss of vision, mental problems such as changes in mood and depression
These may include nausea, vomiting, severe motor control impairment, unconsciousness, and even a risk of alcohol poisoning
Certainly, the neurologist and neurosurgeon have to assess each patient and their history, but even armed with an evaluation, these questions are still non-trivial to address