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The neurologic side effects include confusion, dizziness, drowsiness, slurred speech, balancing issue, loss of consciousness, muscular paralysis, fatigue, numbness, tingling, and/or burning

Vitamin B12 functions as a cofactor in cellular metabolism but possesses no thermogenic properties and does not directly influence adipose tissue metabolism or fat burning

[5] However, serum B12 alone may not always reflect true tissue B12 status, particularly in liver disease where altered binding proteins can lead to misleadingly normal or elevated results