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18 As Thakkar and Billa, they point out potential concerns for smokers, but again this is based on an article from 1970

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Common side effects include pain or discomfort at the injection site, and less commonly, gastrointestinal disturbances, allergic reactions, or other issues

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"Risk factors of vitamin B(12) deficiency in patients receiving metformin"

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[6] [25] At levels only slightly below normal, deficiency can result in fatigue, headaches, feeling faint, rapid breathing, pale skin, numbness or tingling, poor appetite, heartburn, poor balance, difficulty walking, poor reflexes, blurred vision, memory problems, depression, irritability, inattention, cognitive decline, dementia, and even psychosis

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This is fully in-clinic training, designed to build both confidence and technical competence through supervised practice

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