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That said, signs or symptoms that you may be low in vitamin B12 include: fatigue pale skin headaches symptoms of depression stomach issues difficulty focusing or concentrating pain or inflammation in the mouth or on the tongue burning or pins and needles feeling in your hands or feet muscle cramps vision changes Learn more: Signs and symptoms of B12 deficiency

Not from the HCG. Any diet that restricts your calories to 500 a day is going to work, to an extent, Zumpano concedes

I am struggling now because I am losing my mobility and independence (38 years of RA are finally catching up with me plus other problems)

While oral substitutes have shown some effectiveness according to studies, their ability to match the efficacy of intramuscular vitamin B12 remains uncertain