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For selected symptomatic patients please review Figure 1: B 12 Test Result Review and Process Algorithm for Patients with Risk Factor for B 12 Deficiency* and/or Non-specific** or Specific Symptom of B 12 Deficiency

These may include: Fatigue Brain fog Memory loss Neurological problems Heart palpitations Pale skin Muscle weakness Mood changes Appetite loss Constipation Infertility Side Effects of Vitamin B12 While the recommended daily amount of vitamin B12 for adults is 2.4 micrograms, higher doses have been found to be safe

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Water withdrawals: Withdrawing water from rivers, lakes, and aquifers for domestic, agricultural, and industrial use, reduces the amount of water available for other parts of the water cycle, and affects the ecosystems in the environments from which we collect water