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Description
It seems like it comes and goes and some days are worse than others
57 , 58 Cobalamin deficiency causes a decrease in hemoglobin levels, characterizing megaloblastic or pernicious anemia with manifestations that include skin pallor, decreased energy and exercise tolerance, fatigue, shortness of breath, and palpitations

Injections typically contain methylcobalamin or cyanocobalamin , two forms of B12

Notably, older classification systems indicated that using pyridoxine above the usual recommended intake falls under Pregnancy Category C, reflecting that risk cannot be ruled out without more data
In some countries like Japan, it is seen as a potential treatment for ALS
