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This is consistent with the peptides origin in gastric juice and its role in protecting and rebuilding the digestive lining

The signs and symptoms of B12 deficiency that indicate you may benefit from vitamin B12 injections include: chronic fatigue, lethargy and weakness Muscle aches, joint pain and trouble exercising Poor memory, inability to concentrate and other cognitive problems associated with aging Mood changes, like increased depression and anxiety, or signs of nervousness like rapid heartbeats/palpitations Poor dental health, including bleeding gums and mouth sores Shortness of breath and feeling dizzy Poor appetite or digestive problems, like constipation, nausea, diarrhea or cramping Sometimes greater risk for problems like cardiovascular complications or even cancer (due to a rise in homocysteine levels) Why might you be low in vitamin B12, even if you eat a relatively healthy diet

The post says nausea, vomiting, and gastrointestinal disturbance are common early side effects across the class

Headache, Fatigue, Dizziness Often improves with hydration and regular, balanced meals