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Symptoms can range from mild to severe

The two products are different, as explained in the What CL Found section of our B Vitamin Supplements Review, which includes our current for B vitamin complexes and single B vitamins

[39] The elderly are at increased risk because they tend to produce less stomach acid as they age, a condition known as achlorhydria, thereby increasing their probability of B 12 deficiency due to reduced absorption

Severe deficiency can contribute to fatty liver changes, which is one reason choline gets framed as liver support. Details are summarized in the NIH ODS Choline fact sheet for health professionals

Nerve pain (caused by diabetes, radiation, chemotherapy, etc.) Since Vitamin B12 balances the nervous system, a lack of it can lead to nerve damage and degeneration of the spinal cord

Fetuses and breast-fed infants drain nutrients from their mothers