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But if left untreated, it may cause the following symptoms: Weakness, tiredness, or lightheadedness Lack of energy A decline in your mental abilities, such as memory and focus A painful and red tongue (glossitis) Mouth ulcers Pins and needles (paraesthesia) Disturbed vision Irritability Causes of Vitamin B12 deficiency

Altered serotonin levels may inhibit gastric acid secretion, affecting gut mucosal function and influencing gastric blood flow

Limited Human Reports A small number of human publications exist, but their scale and design do not establish general safety or effectiveness

This medical emergency necessitates rapid fluid resuscitation and vasopressor therapy to restore vascular tone and maintain adequate organ perfusion