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Some people, however, dont get enough B12, or they have trouble absorbing the nutrient

Electrolyte imbalances can result in symptoms like weakness, dizziness, confusion, or irregular heartbeats

Another class of drugs, cholinesterase inhibitors, which are already being used with some success to treat Alzheimers patients, have also shown promise as neuroenhancers

Vitamin B12 may reduce the effectiveness of some chemotherapy drugs, such as methotrexate or 5-fluorouracil, and may also be impacted by medications like metformin, proton pump inhibitors (PPIs), and certain antibiotics (e.g., chloramphenicol)

Signs and symptoms are pallor with yellow skin (jaundice), tiredness (happen early), gastrointestinal symptoms and variable neurological abnormalities (happen later)

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