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These include: Pale or jaundiced skin Extreme tiredness and lack of energy Pins and needles, muscle weakness, cramping, impaired balance Cognitive issues such as anxiety, depression, 'brain fog', psychosis and dementia Red, inflamed tongue Blurred vision What does vitamin B12 do

doi: 10.1093/ibd/izz007 24 UrsiniFMaiorinoM

Most patients on the out-of-pocket pathway either transition to a maintenance strategy (lower dose, less frequent injections) after initial weight loss or switch to compounded alternatives