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Unintentional weight loss exceeding clinical targets, inability to maintain adequate nutrition or hydration, or new or worsening heartburn or reflux symptoms that don't respond to over-the-counter treatments also warrant medical consultation

Frequently asked questions Early warning signs of B12 deficiency include unexplained fatigue, tingling or numbness in your hands and feet, difficulty concentrating, and mood changes

Vomiting and Diarrhea : Gastrointestinal upset is normal but usually subsides after several weeks

It is used in conjunction with a balanced diet and exercise program to help control blood sugar levels when other medications have not been effective