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Rarely, it may also cause liver problems

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These include: Neurological symptoms : tingling or numbness in hands and feet (peripheral neuropathy), difficulty walking or balance problems, memory difficulties, or mood changes including depression Haematological signs : persistent fatigue, weakness, pale or jaundiced skin, or shortness of breath Glossitis : a sore, red, smooth tongue Cognitive symptoms : difficulty concentrating, confusion, or "brain fog" Seek urgent medical attention if you experience rapidly worsening neurological symptoms, significant difficulty walking, severe paraesthesia, or marked cognitive decline, as these may require immediate assessment

Vitamin B12 is essential for a variety of functions in the body, including energy neuronal function, red blood cell synthesis, and metabolism

The Effects of Rumen-Protected Choline and L-Carnitine Supplementation in the Transition Period on Reproduction, Production, and Some Metabolic Diseases of Dairy Cattle