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A deficiency can lead to a type of anemia called megaloblastic anemia, causing fatigue and weakness

But if untreated, it may lead to symptoms such as: Weakness, tiredness, or lightheadedness Heart palpitations and shortness of breath Pale skin A smooth tongue Constipation, diarrhea, loss of appetite, or gas Nerve problems like numbness or tingling, muscle weakness, and problems walking Vision loss Mental problems like depression, memory loss, or behavioral changes Treatment If you have pernicious anemia or have trouble absorbing vitamin B12, you'll need shots of this vitamin at first

Peptides in lyophilized form are supplied in glass vials by standard shipping methods and do not require refrigeration

How long can I stay on tirzepatide with B12 safely