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Common side effects of HCG and B12 treatments include headache, fatigue, and irritability, so if you experience any of these symptoms, it's important to talk to your doctor about ways to alleviate them

(Cochrane Urology Group) (November 2018)

A vitamin B12 deficiency can disrupt several systems in the body, causing fatigue, dizziness, shortness of breath, confusion, vision loss, and even depression

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If youre concerned about pernicious anemia, ask your healthcare provider if youre at risk and what steps you can take to avoid vitamin B12 deficiency