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Common symptoms include: Fatigue and weakness Anemia Neurological issues such as numbness or tingling in the hands and feet Cognitive difficulties and memory problems Glossitis and mouth ulcers Moreover, prolonged deficiency can lead to severe health complications, such as pernicious anemia and neurological damage

The daily therapeutic dose varies from 250 to 1000 micrograms per day

Some studies show a small increase in resting metabolic rate, possibly mediated by improved insulin sensitivity and reduced lipotoxicity in tissues