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For individuals with suspected B12 deficiency symptoms include fatigue, glossitis (sore, red tongue), paraesthesia, or cognitive changesit's important to consult your GP promptly for appropriate blood tests

[13] There have also been rare reports of high-dose vitamin B (as in injectable form) precipitating skin outbreaks such as acne or rosacea in susceptible persons

These include: Cigarette smoke Silica, a common mineral from the earth's crust found in sand, stone, concrete, and mortar Mercury Viruses including Epstein-Barr, herpes zoster, and cytomegalovirus Ultraviolet (UV) light Stress Medications that lead to lupus Some prescription medications such as hydralazine and procainamide can cause lupus

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However, being used with all the other vitamins and nutrients listed gives a person better weight loss results