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The NIH notes that vitamin B12 deficiency can cause fatigue, anemia, and neurological changes such as numbness or tingling, which is why visit context matters more than simply ordering a wellness shot online

Large doses of folic acid may also partially mask or worsen vitamin B deficiency by correcting anemia while allowing neurological damage to progress

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Abruptly stopping tirzepatide after months of use leads to rapid appetite return and weight regain in most people

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