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If you dont feel a reduction in hunger after the initial titration period, it is a signal for us to evaluate your dosage and lifestyle factors to get you back on track

Low B12 levels are associated with symptoms like: Fatigue or low energy Difficulty concentrating Numbness or tingling in hands and feet Swollen, inflamed tongue Dizziness or unsteadiness Muscle weakness Vision problems like blurriness or double vision What are the possible B12 injection side effects

Chronic tendon conditions and post-surgical recovery often require 8 to 12 weeks or multiple cycles before meaningful structural change becomes apparent

PMID: 15788704

Regarding specificities of diabetes and its treatment, the psychological resistance to insulin regimens is an important issue