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Common signs and symptoms include the following: Cognitive issues, especially those that deal with memory Extreme fatigue Depression Frequent headaches Problems with maintaining balance Changes in vision Megaloblastic anemia Heart palpitations Pale skin Weight loss Infertility Numbness and tingling in the hands and feet A sore tongue Low appetite Constipation Vitamin B12 Deficiency Risk Factors You have a higher risk of developing vitamin B12 deficiency if you have specific health problems

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However, notify your insurer that youre offering weight-management services to confirm coverageespecially if youre practicing in multiple states via telehealth

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10.1007/BF00401145 10

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An Ozempic overdose can cause significant nausea, diarrhea, vomiting, and gastrointestinal symptoms, says Supriya Rao, MD, DABOM , a quadruple board-certified physician specializing in obesity medicine and lifestyle medicine

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