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Symptoms include: Fatigue and Lethargy Depression Irritability Headaches Difficulty with balance Decreased Cognitive Function Constipation Sore or Swollen Tongue Palpitations Mouth Ulcers Pins and Needles Changes to vision People With Gastrointestinal Issues If youre suffering from any gastrointestinal disorders, you may be at a higher risk of Vitamin B12 deficiency

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In addition to its role in regulating gene expression through methyl-dependent epigenetic mechanisms, vitamin B12 is recognized for its neuroprotective, antioxidant, and anti-inflammatory properties 54

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Appropriate treatment should most importantly first include staging and careful planning of the surgery (Ladlow, 2013), because aggressive, radical excision is crucial to avoid tumour recurrence