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Some common symptoms are: Low energy levels Trouble focusing Feeling more irritable Light shortness of breath Getting tired earlier in the day These symptoms can differ for everyone, but if they show up near the end of your dose cycle, increasing the frequency might help

This is done when the standard treatment regimen is ineffective

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Low energy Tingling sensation or numbness in hands or feet A swollen, red cracked tongue Mood changes Trouble concentrating and remembering things Megaloblastic anemia People at risk for Vitamin B12 Deficiency: People with a deficiency of intrinsic factor