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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

Patients receiving long-term therapy with omeprazole or other proton pump inhibitors (PPIs) should be monitored for signs of B12deficiency

Store per the label

This can be extended as needed, as mentioned above

To ensure optimal safety and results, semaglutide should be taken under close medical supervision as part of a comprehensive weight management program

Tiny bumps on your tongue called papillae start to waste away