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If you lack reliable refrigerationsuch as during travel or relocationinform your provider immediately

Extreme fatigue Pale skin A yellow tinge to the skin Heart palpitations Feeling breathless Dizziness A numb or tingling feeling in the extremities Mouth ulcers A sore tongue Weight loss A loss of appetite Vision problems Cold hands and feet Many of these symptoms overlap, so its important to speak to your doctor if you show any of them

Some patients receive injections weekly, while others follow a maintenance schedule

The serum test, on the other hand, which is still widely used, is actually of little informative value