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Symptoms of B12 deficiency may include: Depression Fatigue Trouble concentrating Confusion Memory problems Headaches Mood changes Vitamin B12 is essential for red blood cell production, so long-term deficiency can lead to anemia, which can cause fatigue, shortness of breath, and an irregular heartbeat

The quality of these products varies substantially between vendors, and there is no meaningful consumer protection framework around the purchasing experience

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For the LimaCuscoPuno 10-day tour , we recommend comfortable layered clothing