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Symptoms of vitamin B12 deficiency include (1): chronic fatigue shortness of breath heart palpitations tingling or numbness in the extremities poor balance loss of concentration poor memory disorientation mood changes incontinence insomnia People most at risk of developing a deficiency include older adults, as well as those who smoke, abuse alcohol, or follow a vegetarian or vegan diet

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When the peptide binds to these receptors in fat tissue, it triggers a cascade that increases lipolytic enzymes, breaking down stored triglycerides into free fatty acids for energy use

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