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More serous B12 deficiencies have the potential to impair heart and neurological function, leading to a wide range of serous symptoms, including but not limited to tinnitus, severe joint pain, memory problems, depression, anxiety, poor muscle function, ataxia, and changes in reflexes

Vitamin B12 is available as a dietary supplement and is also added to some foods

When present, effects are usually mild and may include temporary redness or irritation at the injection site

If you develop signs of high cortisol like central weight gain despite overall weight loss, morning headaches, or mood disturbances, testing cortisol through saliva or 24-hour urine collection may be appropriate

While human risk appears minimal based on post-marketing surveillance, the contraindication remains