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Deficiency can lead to megaloblastic anemia, causing exhaustion, pale skin, breathing difficulties, dizziness, and rapid heartbeat

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The Journal of Clinical Endocrinology & Metabolism, 91(3), 799805

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doi: 10.3389/fneur.2020.00828 362 HulensMRasschaertRVansantGStalmansIBruyninckxFDankaertsW