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Here are the typical symptoms of B12 deficiency: Weakness, fatigue, tiredness, generally feeling run down Poor memory, brain fog ,light headedness and dizziness Depression (is involved in the synthesis of serotonin and dopamine) Heart palpitations, shortness of breath Pale skin A smooth tongue Lack of appetite Constipation, diarrhoea, gas, bloating

Degranulating mast cells and CD8 + lymphocytes significantly increased

Your RxPepsDirect provider will recommend based on your medical history.

Add 2 mL of bacteriostatic water for a 5 mg/mL concentration

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If you had a Roux-en-Y gastric bypass surgery, you are especially at risk for low vitamin B12