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If you are still experiencing significant nausea, vomiting, or diarrhea at the end of a 4-week dose block, stay at the current dose for another 2-4 weeks before attempting the next increase

[DOI] [PubMed] [Google Scholar] 256.Ware M.A., Fitzcharles M.A., Joseph L., Shir Y

Weeks 4-8: Continued healing, tissue remodeling, and functional improvement

Some symptoms of vitamin B12 deficiency include: Weakness and tiredness Pale or yellowish skin Loss of appetite Heart palpitations Mouth or tongue soreness Tingling or "pins and needles" sensation in your hands and feet Shortness of breath Dizziness Blurry vision Mood swings or personality changes You are more at-risk for developing vitamin B12 deficiency if you are: Pregnant Over 65 Vegan Take medicine for diabetes Take medicine for heartburn Have had surgery to remove part of your bowels Health News Are Microplastics Linked To Higher Heart Attack Risk