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The cognitive benefits may arise partly from improved sleep rather than direct nootropic mechanisms

Sodium dihydrogen orthophosphate Sodium chloride Sodium Hydroxide (for pH adjustment) Hydrochloric Acid (for pH adjustment) Water for Injections Do you know what your Folate level is as this is essential to process the B12 you are having injected

The ones every three months have been helpful and Ive had no side effects, however the last two times Ive had the injections Ive been really struggling with fatigue (my main symptom) especially bad in the couple of weeks beforehand so Ive not been actually getting a huge amount of benefit from them as its just gone on helping the worsening fatigue, so my overall baseline fatigue hasnt actually been helped

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The good news is that vitamin B12 deficiency is common and usually straightforward to manage with appropriate medical support

Other symptoms of vitamin B12 deficiency include: Rapid breathing or shortness of breath Headaches Indigestion Diarrhea Loss of appetite Problems with vision Feeling weak or tired Psychological problems, which can range from mild depression or anxiety to confusion and dementia Blood tests are the most common way to diagnose a vitamin B-12 deficiency