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Cyanocobalamin acts as a precursor for the bioactive forms of vitamin B12, methylcobalamin, and adenosylcobalamin, which are critical co-factors in DNA synthesis and red blood cell production

Documenting pain levels during specific activities reveals patterns and guides activity modification decisions

As the condition worsens, common symptoms include: weakness and fatigue light-headedness and dizziness palpitations and rapid heartbeat shortness of breath a sore tongue that has a red, beefy appearance nausea or poor appetite weight loss diarrhea yellowish tinge to the skin and eyes