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From a psychological standpoint, individuals with a vitamin B12 deficiency may experience depression, anxiety, and cognitive impairment

References: Zhang, Ming et al

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However, let us remember again: if there is a B12 deficiency but a high intake of folates through supplements or dietary sources, the MCV may not be altered, as the folate trap is neutralized when a more or less valid folate balance is restored, and this means that the alarms may not go off in a basic blood test