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Stage 3 (moderate deficiency) exhibits more pronounced symptoms, including anemia, neurological issues like numbness or tingling, memory problems, and mood changes

10.1007/s11064-023-04097-2 204 MilesJ

Hi I have had really bad heavy periods for the last few years and low b12 was thought to be part of the problem, I was recently put on the pill to control them (which does make them a bit lighter but I am getting bleeding when I shouldn't!)

PMID: 19017170 View source Dahan A, et al

showed percentages ranging from 53.6% to 82.3% of undiagnosed DPN among patients with painful diabetic neuropathy

The compound doesn't need to be in your blood continuously to exert effects if it induces lasting neurobiological changes