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But if your B12 level is normal

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Shortness of Breath and Dizziness When red blood cell levels drop, less oxygen reaches the body, causing dizziness, lightheadedness, and shortness of breath even with mild activity

This is likely an important, if not necessary, fundamental change in how we feed ourselves, but it is recognized that this could increase the prevalence of vitamin B12 deficiency because the vitamin is not found in plant-based foods (106, 107)

Ensuring a balanced diet, regular exercise, and sufficient rest will complement the effects of the injections, creating a holistic approach to achieving and maintaining your weight loss goals