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As I elaborate on in my video The Symptoms of Vitamin B12 Deficiency , these include: Abdominal distention Chronic diarrhea Shortness of breath Swollen, red, painful feet Skin darkening Bilateral useless hand syndrome Numbness and tingling in the hands and feet Muscle cramps Dizziness Cognitive disturbances Difficulty walking Erectile dysfunction Fatigue Depression Psychosis Coma Blindness Vitamin B12 Deficiency Treatment Is A Vitamin B12 Shot Better Than Taking B12 Orally

These treatments address specific quality-of-life concerns without replacing hormones or serving as lifestyle programs

Vitamin B12 is available in two forms that are given through injection

Tirzepatide does not typically disrupt sleep, though some researchers report tirzepatide-related sleep changes that may need management

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