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So this has been in your practice for, I dont know, how long has it been in your practice and what have you started kind of using it for

Common symptoms of vitamin B12 deficiency: Fatigue and a subjective feeling of low energy levels Hair loss and changes in skin color (usually manifests as pale skin) Brain and cognitive issues like decreased memory, depressive-like symptoms, mood changes, and brain fog Shortness of breath or difficulty with sustained exercise Megaloblastic anemia Depression and even a dementia-like syndrome can be confused with Alzheimers Nerve conditions like nerve pain and peripheral neuropathy Why are the symptoms so diverse

Contact your GP urgently if you experience severe pain, signs of infection (increasing redness, warmth, discharge), or any concerning symptoms following injection

This is still the case if your periods irregular