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When B12 levels become too low, people may experience symptoms such as: Fatigue or low energy Memory or concentration problems Numbness or tingling in the hands and feet If B12 deficiency becomes severe and lasts a long time, it can lead to nerve damage

Substandard BAC water with incorrect benzyl alcohol levels creates an ionic environment that accelerates aggregationvisible as cloudiness or precipitate formation within hours of reconstitution even when stored correctly at 28C

However, one study reported that children and adults with normal to elevated levels of serum vitamin B1 had many symptoms normally associated with vitamin B12 deficiency, including fatigue, depression, anxiety, lack of motivation, poor memory, fuzzy thinking, peripheral neuropathy and difficulty sleeping

This question often arises when patients with hepatic steatosis discover unexpectedly elevated vitamin B12 results

PMID 22454972

The benzyl alcohol inhibits bacterial growth upon repeated vial access, allowing the solution to be used across multiple reconstitutions or multiple aliquots from a single vial without contamination risk