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Dietary deficiency is a common cause of B12 deficiency, especially in certain populations

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Warnings and precautions Severe adverse effects are rare, but may include: Acute (sudden) pancreatitis or inflammation of the pancreas, the organ that makes insulin and digestive juices Increased heart rate Gallbladder issues, such as inflammation or gallstones Gastroparesis, a condition that affects the muscles and nerves in the stomach and slows down food digestion Some populations may experience complications or risks with these medications

Patients with Hashimoto's typically present with symptoms of hypothyroidism including fatigue, weight gain, cold intolerance, constipation, dry skin, hair loss, and cognitive difficulties such as poor concentration or memory problems