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Signs and symptoms of low blood sugar may include dizziness or light-headedness, sweating, confusion or drowsiness, headache, blurred vision, slurred speech, shakiness, fast heartbeat, anxiety, irritability, mood changes, hunger, weakness or feeling jittery

Medically unexplained symptoms

Also when you take B12 as a sublingual tablet or chewable form, it will usually contain sugar alcohols like xylitol etc

The route of administration significantly impacts treatment speed

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