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Contact your GP immediately, call NHS 111, or attend A&E if you develop: Irregular heartbeat or palpitations that persist Chest pain or pressure Severe breathlessness Significant leg swelling These symptoms require assessment to determine their cause, which may or may not be related to your B12 treatment

For constipation, increase your fiber intake to 2538 grams per day, paired with plenty of water

Results at 0.25mg are minimal

Pair it with: Walking for 30 minutes most days Swimming or water aerobics Cycling or stationary biking Stretching and balance exercises If mobility is limited, chair exercises or physical therapy offer similar benefits

Both methods were time-consuming, expensive and imprecise (Randle