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Other common symptoms of B12 deficiency include: Lethargy or a total lack of energy Extreme fatigue Palpitations Pale skin Feeling faint Breathlessness Weight loss and loss of appetite Your doctor may prescribe B12 injections in extreme cases that take effect right away

Allergic reactions to proprietary preparations of vitamin B12 might be due to substances added to the solutions as preservatives or for other reasons, to impurities from the production, or to the vitamin B12 itself

Most of what we know to date comes from a mix of preclinical research and the biological mechanisms each therapy targets

One study reported astaxanthin causing more bowel movements and reddish stools

Gastric acid inhibitors : Medications such as omeprazole (Prilosec), lansoprazole (Prevacid), and cimetidine (Tagamet) can interfere with your body's ability to absorb vitamin B12