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genetics, hormones, autoimmune conditions, stress), nutritional deficiencies can often fly under the radar

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Meanwhile, the same measures suggested under muscle symptoms (above) can do much to alleviate them, and they usually disappear after withdrawal

In addition, B12 deficiency-associated fatigue is often accompanied by other symptoms such as numbness and tingling, cognitive impairment (memory and concentration problems), mood swings (depression), skin changes (pale skin), shortness of breath, or fast heart rate

Without diet and exercise, any effect of the injection would be minimal