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The medication may look, smell, and feel normal while delivering significantly reduced efficacy

Unfortunately, no

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Some of the characteristic symptoms of this deficiency include: extreme tiredness lack of energy breathlessness feeling faint headaches pale skin noticeable heartbeats (palpitations) loss of appetite and weight loss a decline in your mental abilities (brain fog) irritability depression If youre following a vegan diet and recognise any of the symptoms outlined above (or just wish to prevent them!), a vegan B12 supplement may be required and you have two options available

The NEJM article discusses people who had strong reactions to dose 1 and what they did to counter them

Before using Vitamin b1, b6, and b12 injection, it is necessary to pay heed to some of the warnings that comes along its way