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Common symptoms include: Fatigue Difficulty concentrating or remembering (Brain Fog) Heart palpitations Pale skin Weight loss Numbness and tingling in the hands and feet Mood changes, including irritability or depression Sore tongue Decreased appetite Constipation Why consider Vitamin B12 injections

This reduces the risk of hypoglycemia that plagues older diabetes medications

Several commenters noted that 12 months is not sufficient as hospitals typically pull the data several months before posting and have claims adjudication lags effectively meaning that hospitals will only be able to use 6 to 8 months of data