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B12 can help the body use fat calls and carbohydrates for energy as well as build new protein

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The 4 stages of B12 deficiency include (31): Stage 1: decreased levels of vitamin B12 in your blood Stage 2: low levels of vitamin B12 in your cells along with metabolic abnormalities Stage 3: neurological and psychological symptoms like anxiety, confusion, problems with balance, and others Stage 4: macrocytic anemia very large red blood cells (32) B12 deficiency can cause a variety of symptoms, including fatigue, headaches, depression, pale or yellow skin, mental impairment, and pain and inflammation in the mouth and tongue

Serum (the liquid portion of blood) is commonly used to test vitamin B12 and folate

Vitamin B12 injections may be administered in the arm or other regions with excess subcutaneous fatty tissues like the buttocks, thigh, or abdomen