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As a result, it is often mistaken for other conditions or dismissed as simply feeling run down. These symptoms can range from mild to debilitating and often include: Fatigue or extreme tiredness Brain fog or memory problems Depression and low mood Pale or jaundiced skin Numbness or tingling in hands and feet Shortness of breath or dizziness Muscle weakness A swollen, inflamed tongue (glossitis) Pins and needles (paraesthesia) Visual disturbances Heart palpitations If left untreated, vitamin B12 deficiency can lead to serious and irreversible neurological problems

Treatment doses typically range from 50 to 150 g daily of cyanocobalamin, preferably taken between meals, or 1,000 g daily for more rapid repletion, continued until deficiency is corrected

In 2013, a clinical trial comparing phentermine as monotherapy or as part of a combined therapy, took place and resulted in a weight loss of 5.1% at 28 weeks follow-up period in favor of the combined phentermine/topiramate group.(see Table 10) Table 10

Vitamin injections are a quick and effective way to deliver essential nutrients directly into your bloodstream, bypassing the digestive system for maximum absorption