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Call your doctor if you experience any of the following symptoms: Headache Nausea Drowsiness Numbness Tingling in the arms and/or legs Seek immediate medical attention if you experience any of the following: Rash Itching Swelling Severe dizziness Trouble breathing Storage Store at controlled room temperature

These findings do not establish a direct cause-and-effect relationship, but they suggest that long-term high-dose supplementation may not be necessary for individuals with adequate B12 status

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It is fundamental that the cause of the deficiency is investigated, and that people are treated accordingly