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Vitamin B12 deficiency: signs, risks, and how to protect your health By Dr Marcus Stephan Published: 22 Jul 2026 9:00 5 minutes read Persistent morning fatigue and exhaustion can be early warning signs of a hidden nutrient gap like vitamin B12 deficiency

Stefanie McCain

This usually means adding the water to a drug powder or concentrate so that the final solution is safe for injection

Some notice brief, mild GI effects tied to the methionine and choline in the formula

If it does not improve, your provider can evaluate a slight dose reduction, advise reducing caffeine and other stimulants, or discuss alternative appetite suppressants such as Tenuate or Phendimetrazine, which work through different mechanisms and tend to cause less sleep disruption

Also noticed an old wrist injury feels better