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These include: Neurological symptoms : tingling or numbness in hands and feet (paraesthesia), difficulty walking, balance problems, memory difficulties, or mood changes Haematological signs : ongoing fatigue, weakness, pale skin, or shortness of breath suggesting anaemia hasn't resolved Glossitis : a sore, red tongue that hasn't improved Cognitive issues : continued difficulty concentrating or memory problems These symptoms, particularly progressive neurological deficits or severe anaemia with cardiorespiratory compromise, may require urgent medical attention

However, both come with serious health and legal risks

Heckmann SM, Kirchner E, Grushka M, Wichmann MG, Hummel T

While they are not a standalone weight loss solution, they are most effective when paired with proper nutrition and a regular exercise plan