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2022 Oct 28;10(11):2744

Additionally, if you have early Lebers disease or exhibit symptoms of low folate or iron levels like extreme fatigue, sore or red tongue, muscle weakness, and burning or prickling sensations in arms or legs, it's important to inform your doctor before using the nasal spray

What Every Vegan Should Know about Vitamin B12: An Open Letter from Health Professionals and Vegan Organizations Research on Vitamin B12 The links below provide a thorough review of the scientific literature on vitamin B12 and the vegan diet

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These injections may cause (11): Diarrhea or constipation Dry mouth Fatigue Incontinence Increased heart rate Anxiety Insomnia Feet and hand numbness Nausea Vomiting Palpitations Elevated blood pressure The intensity of the side effects of lipotropic injections can vary