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262 It functions not only in peripheral tissues but also directly within the CNS, crossing the blood-brain barrier or being produced centrally to act on the brain
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More serious B12 deficiencies have the potential to impair heart and neurological function, leading to a wide range of serious symptoms, including but not limited to: tinnitus, severe joint pain, memory problems, depression, anxiety, poor muscle function, ataxia and changes in reflexes
These practices can include standardized receiving and inventory steps, defined storage locations and temperature monitoring, controlled preparation windows, and explicit documentation of preparation timing and container selection
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