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The inability to absorb vitamin B12 fatigue glossitis, which causes changes in the size, color, and texture of the tongue shortness of breath a loss of appetite and weight loss cognitive decline imbalance numbness heart palpitations diarrhea depression mood changes Pernicious anemia is an autoimmune disorder Researchers do not know the exact causes of the disorder

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Room temperature storage accelerates degradation significantly

[1] Particular concerns with multi-dose vials include dosing errors (confusion between mg, mL, or units) and contamination from repeated access