Jacob, R

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If you're not getting enough B12, you can experience anemia, fatigue, weakness, constipation, decreased appetite, weight loss, dizziness, lightheadedness, confusion, poor memory, soreness of your tongue and mouth, and tingling and numbness in your hands and feet, according to Harvard Health Publishing
Some of the main mechanisms underlying this cardiomyopathy are unique to CKD, whereas others are also observed in other conditions, such as hypertension and volume overload
J Pharmacol Exp Ther 351:390402