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Many patients who respond well to B12 notice improved alertness and steadier energy

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Red flags that require medical attention include: Persistent fatigue or generalised weakness Numbness or tingling in the hands and feet Difficulty with balance or coordination Memory lapses or difficulty concentrating Pale or yellowish skin tone Shortness of breath or heart palpitations Pain or soreness in the tongue or mouth In such cases, prompt medical evaluation is essential

The medication comes with a boxed warning for thyroid C-cell tumors, including medullary thyroid carcinoma (MTC)

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As a multiple-dose vial, it allows for repeated withdrawals, providing flexibility for medication dilution