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Cycle length, side effects, treatment goals, and safety factors should be reviewed by a provider

In combined B12 and folate deficiency, B12 replacement must be started before folate supplementation to avoid precipitating or worsening neurological damage

However, this deficiency may be more likely to affect females at certain times, Potential symptoms of B12 deficiency in females fatigue or weakness confusion or issues with memory mouth or tongue soreness headaches diarrhea shortness of breath vision problems numbness or tingling depression or anxiety balance and coordination problems Other signs of B12 deficiency B12 deficiency can cause anemia, a condition where the body cannot create enough healthy red blood cells

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