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Physical symptoms extend beyond neurological manifestations to include macrocytic anemia , where Red Blood cells become enlarged and inefficient at oxygen transport

You need a prescription to obtain a B12 injection, but they can be safely administered by a doctor or even at home

And lastly, alcohol abuse may also impair B12 levels and metabolism (Temova Rakua et al., 2022)

Fatigue can have many causes, including stress, poor sleep, hormone issues, nutritional deficiencies, or other medical concerns