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Potential consequences of vitamin B12 can vary and requires diagnosis by a medical health care provider and include (11, 13, 14): Fatigue and weakness: Vitamin B12 is essential for energy metabolism, and deficiency can result in fatigue, weakness, and lethargy due to impaired production of red blood cells and energy

Haupt, R

This has been hypothesized as either due to blood bacteremia from oral pathogens entering the blood via the bleeding gums and thus crossing of the blood brain barrier and/or entry to the brain via the trigeminal nerves (Teixeira et al., 2017

doi: 10.1097/RCT.0000000000001707 143 CavalcanteSLCDABarros SilvaPGDHirthCGFredericoIKSFurtadoCLM PessoaCDet al

Physiol Plant 123:459466