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Memory and Cognitive Impairment: Some studies suggest a link between B12 deficiency and brain fog, forgetfulness, or concentration difficulties

Overgrowth of bacteria: Some people develop vitamin B 12 deficiency as a result of conditions that slow the movement of food through the intestines (diabetes, scleroderma, strictures, diverticula), allowing intestinal bacteria to multiply and overgrow in the upper part of the small intestine

Ischemic optic neuropathy

The medication should be stored in an area where temperature and humidity are relatively stable, away from heat sources, and in a location where accidental damage or contamination is unlikely