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doi:10.1111/j.1601-0825.2011.01822.x, PMID: 21729219 Liu CZ, Lei B (2012) Effect of acupuncture on serum malonaldehyde content, superoxide dismutase and glutathione peroxidase activity in chronic fatigue syndrome rats

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Diagnostic Evaluation When appropriate, lab testing or metabolic assessments may be recommended to ensure this therapy is suitable for your needs

Symptoms of B12 Deficiency The symptoms of vitamin B12 deficiency can range from mild to severe and may include: - Fatigue and weakness - Anemia - Nerve problems like numbness and tingling - Balance issues - Cognitive difficulties, such as memory loss or difficulty thinking clearly - Mood changes, including depression - Skin problems, such as jaundice (yellowing of the skin) or a sore tongue Recognizing these symptoms early can lead you to consider B12 supplementation, but which form is the best for you

Patients on brand-name tirzepatide without supplemental B12 should have B12 levels monitored periodically, especially after 6 to 12 months of treatment