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Long-term deficiency can lead to permanent nerve damage, repeated fractures, weakened immunity, balance problems, and increased risk of falls and cognitive decline

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Low levels of vitamin B12 (vitamin B12 deficiency) Low red blood cell counts (anemia) due to vitamin B12 deficiency Prevention of vitamin B12 deficiency in people who need more vitamin B12 than usual due to certain conditions (such as pregnancy, thyroid problems, liver or kidney problems)