Additional symptoms are included below aside from the ones mentioned above: a sore tongue constipation difficulty thinking and remembering dementia fatigue heart palpitations infertility low appetite mood changes numbness and tingling sensation in the hands and feet pale skin weight loss Other conditions that may affect vitamin B12 release or absorption are related to the gastrointestinal tract, including the following: celiac disease Crohns disease fish tapeworm infestation bowel or pancreatic cancer folic acid deficiency overgrowth of bacteria in the small intestine pernicious anemia (can lead to gastric atrophy or stomach damage) Moreover, those who have undergone gastrointestinal surgery, including weight loss surgery, may have fewer cells necessary to secrete stomach acid and intrinsic factors
Using medication significantly past expiration is inadvisable
Liu ML, Ylitalo K, Salonen R, Salonen JT, Taskinen MR
While DSIP was described as 'adaptogenic' and stress-protective in older animal work, robust human data demonstrating a cortisol-lowering effect are lacking, and claims of a defined anti-stress action should be treated cautiously
Synergistic mechanisms in carcinogenesis by polycyclic aromatic hydrocarbons and by tobacco smoke: a bio-historical perspective with updates
Sleepwake cycle In the 1990s, a number of trials were carried out into the effects of B12 on circadian rhythm and the sleepwake cycle, but no more recent studies have been published on this topic