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However, its still possible to be deficient, especially if you: have certain medical conditions, such as pernicious anemia and Crohns disease take certain medications, such as proton pump inhibitors follow a strict vegan or vegetarian diet The following symptoms may signal youre not getting enough B vitamins: fatigue weakness dyspnea (shortness of breath) heart palpitations loss of appetite headaches mouth ulcers swollen tongue irritability depression indigestion diarrhea cognitive changes, such as confusion and memory problems Speak with a healthcare professional if you experience any of these symptoms

Mounjaro is used in combination with a reduced-calorie diet, which can lead to changes in vitamin intake

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US FDA Pregnancy Category C Product label: CYANOKIT (hydroxocobalamin) injection, powder, lyophilized, for solution [Meridian Medical Technologies, Inc.] Last revised: April 2011 [DailyMed] Nursing Mothers (FDA) Cyanide poisoning: it is not known whether hydroxocobalamin is excreted in human milk

B12 regulates and enhances your metabolism, prompting it to run at a more effective and efficient rate