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Some cancer medications work by reducing NAD+ levels, and the supplements could interfere with their effectiveness
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But if you want to look for the symptoms then see this list below Signs of B12 deficiency include: Fatigue or low-energy Hair loss Weight gain Brain fog Depression Numbness/tingling Tongue changes Constipation Heart palpitations Anemia Because many of these symptoms can be masked by a low thyroid many people are tempted to check their serum B12 levels Testing for Vitamin B12 Deficiency: Do you Really Need to
If lifestyle modifications prove insufficient, your GP may consider referring you to NHS Tier 2 or Tier 3 weight management services for additional support
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