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Symptoms of vitamin B12 deficiency include (1): chronic fatigue shortness of breath heart palpitations tingling or numbness in the extremities poor balance loss of concentration poor memory disorientation mood changes incontinence insomnia People most at risk of developing a deficiency include older adults, as well as those who smoke, abuse alcohol, or follow a vegetarian or vegan diet

doi: 10.1056/NEJM197909273011303 146

Purity & Documentation References [1]

Sorry for stating the obvious but have you considered changing injection sites

Molecular biology of PCSK9: its role in LDL metabolism

Theoretical interactions exist with NSAIDs, anticoagulants, and CNS-active drugs