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Low energy Tingling sensation or numbness in hands or feet A swollen, red cracked tongue Mood changes Trouble concentrating and remembering things Megaloblastic anemia People at risk for Vitamin B12 Deficiency: People with a deficiency of intrinsic factor

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doi: 10.1002/rmv.2221 207 DufortEMKoumansEHChowEJRosenthalEMMuseARowlandsJet al

Psychopharmacology 84 , 388392

For others, like chronic celiac or Crohns disease, you may need B12 injections throughout your life

Contraindications, Drug Interactions, and Monitoring Important precautions include: Avoiding use in active, untreated malignancies due to theoretical tumor-promotion concerns Using caution with immunosuppressants Monitoring blood pressure and liver enzymes if treatment exceeds six weeks Consulting a healthcare professional if you have bleeding disorders or take anticoagulants Bodybuilders who use multiple compounds should be especially careful because side effects and interactions may be harder to identify