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A few practical points carry more weight than the short side-effect list: No use in pregnancy or breastfeeding

Research suggests it has a relatively mild safety profile, but long-term safety studies are still limited

On the other hand, if a vitamin B12 deficiency does occur, it is associated with several undesirable health risks, some of which are as follows: shortness of breath heart palpitations tingling or numbness in the extremities poor balance mood changes incontinence insomnia loss of concentration poor memory chronic fatigue Those who smoke cigarettes, consume excessive amounts of alcohol, or adhere to a vegetarian or vegan diet are at a greater risk of acquiring a nutritional deficiency than younger adults

Main Sights and Attractions: Lower Agricultural Terraces: An impressive example of Inca agricultural engineering