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Symptoms of severe vitamin B12 deficiency can include visual disturbances, severe joint pain, paresthesia (tingling in the hands and feet), memory problems, depression, anxiety, poor muscle function, ataxia (impaired balance and coordination), changes in reflexes and even infertility

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Results can vary depending on: Dosage Consistency Metabolism Sleep quality Nutrition Exercise habits Overall health In many cases: Sleep and recovery improvements may appear earlier Body composition changes usually take longer Tesamorelin body composition effects are often discussed within a several-month timeframe