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In people with vitamin B12 deficiency, symptoms may include fatigue, lack of energy, dizziness, shortness of breath, irregular or fast heartbeat, pale or yellowish skin, numbness or tingling in the hands and feet, smooth or tender tongue, decreased appetite, weight loss, diarrhea, muscle weakness, unsteadiness, trouble walking, mental confusion, forgetfulness, irritability, and personality changes

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Your provider determines whether a compounded formulation is clinically appropriate after reviewing your medical history, available treatments, expected benefits, potential risks, and alternatives