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What happens during the first appointment

L., Larsson, M., Olivecrona, G

Common symptoms associated with low vitamin B12 levels may include: Muscle weakness Fatigue Irritability or mood changes Numbness or tingling in the hands and feet Smooth or swollen tongue Nausea Diarrhea Changes in heart rate Unexplained weight loss Balance or mobility concerns If you are experiencing symptoms associated with low vitamin B12 levels, it is important to speak with your healthcare provider and request appropriate testing

Current disease status and stability should be the first consideration

Intense exercise has been linked to a decrease in L-carnitine blood levels