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Immunity (2017) 47:87589.e10
People with low B12 may experience: Persistent fatigue or low energy Weakness Brain fog, concentration issues, or memory changes Low mood or irritability Pins and needles, numbness, or nerve-type sensations Mouth ulcers or a sore tongue Paleness or shortness of breath (if anaemia is present) Some symptoms can become more serious if deficiency is prolonged, particularly neurological symptoms
Important: GLP1s are not safe in pregnancy
But the acute accumulation of acetaldehyde creates its own concerns, particularly with regular alcohol consumption
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