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Common symptoms of a vitamin B12 deficiency include: Tiredness Lethargy Feeling faint Breathlessness Less common symptoms include: Headaches Heart palpitations Altered taste Loss of appetite Ringing in the ears (tinnitus) Looking pale Sore mouth and tongue If it is left untreated you can end up with longer term problems including: Psychological problems such as depression, confusion, memory problems Nerve problems such as numbness, pins and needles, vision changes and unsteadiness A blood test can indicate if you have a B12 deficiency

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Expectations should remain moderate for labral tears

Storage & Handling Before reconstitution: the lyophilized (freeze-dried) powder is stable refrigerated

IWGDF guidance on the prevention of foot ulcers in at-risk patients with diabetes