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Shortness of Breath Low levels of vitamin B12 may result in reduced oxygen-carrying capacity and consequently cause shortness of breath during physical exertion

He does not spend near the amount of time in the tub that he did

Isolated mildly elevated B12 in well individuals taking supplements typically requires only stopping supplementation and rechecking levels after 812 weeks

On examination, well-demarcated areas of pigmentation localized to knuckles of both hands were noticed (Figure 1)

This space is built for exactly that

Benefits gradually fade over 4 to 8 weeks after discontinuation without continued dosing