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But not everyone reacts the same way

However, low levels Some peoples bodies do not produce enough stomach acid or intrinsic factor if they have a condition known as autoimmune atrophic gastritis

Reported or proposed issue Liver or metabolic changes Evidence source Animal studies and pathway theory Known or theoretical

Low energy Tingling sensation or numbness in hands or feet A swollen, red cracked tongue Mood changes Trouble concentrating and remembering things Megaloblastic anemia People at risk for Vitamin B12 Deficiency: People with a deficiency of intrinsic factor

Loading regimens involve 1 mg three times weekly for two weeks, or alternate-day dosing if neurological symptoms are present