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A lack of vitamin B12 can lead to many health problems, the most common of which are joint pain , fatigue, anemia, exhaustion and reduced vitality, caused by reduced oxygenation of the body

But the PCACs guidance is a recommendation, not a final rulingand for now, nothing is changing for consumers

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Balancing Risks and Benefits The question "Is cyanocobalamin poisonous?" hinges largely on context