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In addition to the symptoms above, B12 deficiency may lead to the following: Muscle cramps and muscle weakness : B12 deficiency negatively impacts motor and sensory nerve function, which can cause muscle cramps and weakness (7,27)

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J Ethnopharmacol 139(1):265272 Attakpa E, Sangar M, Bhanzin G et al (2017) Moringa olifeira Lam stimulates activation of the insulin-dependent akt pathway