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Common symptoms can include: Extreme fatigue Lethargy Loss of appetite headaches Feeling faint or dizzy Breathlessness Headaches Heart palpitations Tinnitus Additional symptoms of B12 deficiency can include psychological problems such as low mood, irritability, depression, cognitive changes, or blurred memory

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The natural form of folate, 5-methylTHF (methylfolate), offers several advantages compared to folic acid: it does not mask B12 deficiency, it is already a biologically active form, it does not cause unmetabolized folic acid in blood, and it is absorbed and utilized at least as well as folic acid

B12 supports the energy metabolism that underpins all metabolic processes