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Rare but Serious Adverse Effects Even though rare, serious side effects can happen

They include: Fatigue and weakness Shortness of breath Pale or yellowish skin Neurological changes, such as numbness or tingling in the hands and feet These symptoms can really affect your life

Most of our patients on metformin with B12 deficiency will fall into the not diet-related category and, therefore, many will eventually require intramuscular replacement

Maintenance Frequency is planned around provider guidance, goals, and whether ongoing injections make sense

There are no studies showing that taking B12 if your levels are normal will help your nails grow stronger or longer