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Symptoms like tiredness, tingling, memory issues, or weakness could be linked, but a simple blood test is the best way to confirm a vitamin B12 deficiency.

Now after phoning today, Im told one doctor is looking at everyone who receives a B12 injection is being referred to one doctor for blood tests to see if we still need it." Similarly, another wrote: "I had to fight with GP to continue [injections], at present awaiting blood results to see if injection [sic] will be stopped or continues." Some participants even said they were not offered an alternative, while others reported experiencing increased fatigue, a fuzzy brain, forgetfulness and more as a result of the change from injections to tablets

But that improvement stopped after they stopped taking it (25)

Caregivers should pay close attention when vitamin B12 deficiency continues despite supplements or dietary improvements

Knowing how long tirzepatide takes to work helps manage expectations during the initial weeks