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Cardiovascular symptoms : Palpitations, irregular heartbeat, or sensation of your heart racing or skipping beats Chest pain or tightness Unexplained fainting or near-fainting episodes Shortness of breath or difficulty breathing Allergic reactions or unusual symptoms : Rash, itching, swelling of the face, lips, or throat Difficulty swallowing or breathing Visual changes or severe headaches New or worsening mood changes, including depression or thoughts of self-harm (while a causal link with GLP-1 receptor agonists is unconfirmed, seek help promptly for any mental health concerns) For emergency situations such as severe chest pain, severe breathlessness, or collapse, call 999 immediately

These are common signs people bring up when they ask us about B12: Ongoing tiredness or low energy Trouble concentrating or remembering Pale skin Mood changes or irritability Feeling lightheaded or weak If several of these sound familiar, a simple blood test can help you and your provider decide on the next steps

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