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Signs and symptoms, if they do occur, might include fatigue, weakness, pale or yellowish skin, irregular heartbeats, shortness of breath, dizziness or lightheadedness, chest pain, cold hands and feet, and headaches

However, dehydration can cause an individual's BAC to rise more quickly, potentially leading to a DUI charge even when the amount of alcohol consumed might not have otherwise resulted in an illegal BAC level

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Ideally, it should be a combination of adenosylcobalamin and methylcobalamin, or hydroxocobalamin as this can be converted into the other two active forms of B12

Special vitamin B12 requirements during pregnancy, breastfeeding and in old age Pregnant women and breastfeeding mothers also have a higher requirement and must pay particular attention to getting enough vitamin B12, preferably through their normal diet