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It binds to plasma proteins and is transported to tissues

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Red flags requiring urgent assessment include rapidly progressive neurological symptoms, new onset ataxia or gait disturbance, visual changes, severe weakness, or confusion

Possible symptoms may include: Fatigue Weakness Pale skin Irritability Difficulty concentrating Shortness of breath Numbness or tingling Mood changes Because the symptoms overlap significantly, blood testing is usually necessary to distinguish between the two deficiencies