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You might also face difficulties getting the B12 you need if you have Celiac disease or Crohns disease, or if you are vegetarian or vegan

Numbness and tingling in hands and feet Poor balance Poor memory and dementia Mouth or tongue soreness Depression Deficiency is primarily due to issues of malabsorption, poor dietary intake and pernicious anemia

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The semaglutide-induced fatigue stems from caloric deficit, blood sugar fluctuations, and metabolic recalibration, not from B12 deficiency

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