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You might also feel numbness or tingling in the hands and feet , have trouble walking, or notice changes in thinking

Doctors usually determine dosage based on blood test results

And, heres a tip: If youre experiencing deficiency symptoms, the best test is a urine MMA not serum B12 level)

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Your body needs B12 for: Digestion, food absorption, iron usage and metabolism Female reproductive health and pregnancy Healthy functioning of nervous system Promotion of normal nerve growth and development Regulation and formation of red blood cells Healthy immune system function Gives physical, emotional and mental vigor Initial signs and symptoms of Vitamin B12 deficiency might be subtle - but in time, they become more noticeable