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If stomach acid levels are low, as can happen with age or certain medications, B12 absorption may be compromised

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Besides CoQ 10 deficiency syndrome and aging, there are chronic diseases in which lower levels of CoQ 10 are detected in tissues and organs providing the hypothesis that CoQ 10 supplementation could alleviate aging symptoms and/or retard the onset of these diseases

Numbness and tingling may be associated with vitamin B12 deficiency but may also result from diabetes, nerve compression, medication effects, or neurological conditions