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Signs and symptoms of vitamin B12 deficiency can include fatigue, pale skin, headaches, shortness of breath, fast heartbeat, gastrointestinal issues, mouth inflammation, paresthesias (abnormal sensations), decreased cognitive ability, depression, muscle weakness, imbalance and incoordination, vision problems, and erectile dysfunction

Both require refrigeration after reconstitution, but GHK-Cu also demands light protection due to coppers photosensitivity

for SC, pinch a one-inch fold

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However, these features are not exclusive to pernicious anemia and can occur in other types of anemia too