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Interestingly, oxidative DNA damage and telomere shortening have been found to be increased in patients with bipolar disorder which in turn has been estimated to accelerate aging by about 10 years (Akarsu et al

Diet : those who follow vegetarian or vegan diets are more at risk due to limited B12 sources Pernicious anaemia : an autoimmune condition impacting stomach function Medication impact : certain medications (e.g., Metformin, Nitrous Oxide) Digestive conditions : disorders like Crohns Disease may affect B12 absorption Symptoms of a low Vitamin B12: Rapid breathing or shortness of breath Headaches Indigestion Loss of appetite Palpitations Problems with your vision Numbness Feeling weak or tired Diarrhea A sore or red tongue (sometimes with mouth ulcers) Problems with memory, understanding, and judgments (cognitive changes) Muscle weakness Depression Anxiety Confusion Dementia Problems with balance/coordination Pins and needles Incontinence If you suspect a Vitamin B12 deficiency, its essential to consult your GP for proper testing and treatment

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You might feel generally tired with the flu

Also to those thst are new to this it's very important to treat as quickly as possible in loading doses to prevent as much damage as possible