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Common symptoms can include: Extreme fatigue Lethargy Loss of appetite headaches Feeling faint or dizzy Breathlessness Headaches Heart palpitations Tinnitus Additional symptoms of B12 deficiency can include psychological problems such as low mood, irritability, depression, cognitive changes, or blurred memory

Older adults (there is reduced stomach acid production with age, and acid in the stomach is necessary to absorb vitamin B12)

let absorb before styling Injectable form (requires prescription, available through licensed compounding pharmacies): Injectable GHK-Cu is used in clinical protocols for broader anti-aging and tissue repair applications

Alternatively (and this is the approach I take for many patients), if you are experiencing significant symptomatic improvement then you can just continue to take the B12 shots indefinitely