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Symptoms of vitamin B12 deficiency include (1): chronic fatigue shortness of breath heart palpitations tingling or numbness in the extremities poor balance loss of concentration poor memory disorientation mood changes incontinence insomnia People most at risk of developing a deficiency include older adults, as well as those who smoke, abuse alcohol, or follow a vegetarian or vegan diet

Within the cells, choline is phosphorylated into phosphocholine or oxidized into betaine

[7] [9] This is why high-dose oral B12 is sometimes used as an alternative to injections in certain patients

This experiment confirmed that the product can delay systemic aging by regulating NAD+ metabolism, providing in vivo evidence for anti-aging interventions

Discuss any active prescription with a qualified clinician before considering use