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[1] In moderate deficiencies, feeling tired, feeling faint, mouth ulcers, rapid breathing, upset stomach, pallor, hair loss, decreased ability to think and joint pain and the beginning of neurological symptoms, including abnormal sensations such as, numbness and tingling, and tinnitus may occur

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Reversible peripheral neuropathy induced by vitamin B12 deficiency The rationale behind most symptoms resolving within 3 months is simple: B12 supplementation results in a swift increase of immature red blood cells within the initial 2-3 days, followed by a gradual normalization of anemia over a 3-month period