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B12 is essential for the methylation reactions required to produce the lipids and proteins that constitute myelin

Symptoms of vitamin B12 deficiency can vary widely and may include fatigue, weakness, pale skin, shortness of breath, neurological symptoms such as numbness or tingling in the hands and feet, difficulty walking, memory loss, and mood changes

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(2018) Vitamin B12 for herpetic neuralgia: A meta-analysis of randomised controlled trials