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Additionally, monitoring symptoms related to vitamin B12 deficiency, such as fatigue, weakness, and neurological changes, can help assess the overall effectiveness of treatment and guide further management strategies

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And it gets worse than that, which brings us to the single most important paragraph on this page

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If you experience any of the following side effects, call your doctor immediately: Hives Rash Itching Difficulty breathing Swelling Slowed breathing Extreme tiredness Confusion Slurred speech Yellowing of skin or eyes Unusual bleeding or bruising Difficulty swallowing Hallucinations Even if a side effect is not on the list, let your doctor know right away if you experience something out of the ordinary when taking Suboxone