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Physical changes can also appear: a surprisingly pale complexion , a swollen and sore tongue (called glossitis ), or persistent mouth ulcers

Common signs of a B12 deficiency include: Fatigue Weakness Pale skin Poor coordination Heart palpitations Loss of appetite Unexplained weight loss A B12 deficiency can also contribute to mental health issues like depression and cognitive issues like confusion and poor memory

How long youll need treatment will depend on your personal needs and weight loss goals

[1] For weight management, tirzepatide is indicated for adults with a BMI 30 kg/m or 27 kg/m with at least one weight-related comorbidity, and must be used in conjunction with a reduced-calorie diet and increased physical activity

Erratum in: Clin Med Res

If you're concerned about methylcobalamin danger or interactions, speak to your physician