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[6] [3] [10] A mild deficiency may not cause any discernible symptoms, but moderate deficiency can cause various symptoms, such as feeling tired, lightheadedness, headaches, cold intolerance, pale skin, sore tongue, upset stomach, loss of appetite, hair and skin color changes, numbness or tingling (pins and needles) of the fingers and toes, and tinnitus, and vision, cognitive or psychological problems

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Once she has a good understanding of your background, current health, and weight loss goals, Doctor Di Meco provides you with a suggested meal plan which is based on a limited daily caloric intake for the active phase of the program