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Other symptoms of vitamin B12 deficiency Beside numbness and tingling in your hands or feet you may experience the following ( 1 ): brain fog or difficulty with thinking and memory loss fatigue weakness problems with walking, coordination, or balance swollen, inflamed tongue yellow skin (jaundice) paranoia or hallucinations How do you know if you are deficient in vitamin B12

PubMed PMID: 22074294

The peptide structure includes modifications that resist degradation by dipeptidyl peptidase-4 (DPP-4), an enzyme that rapidly breaks down natural GLP-1

If needed, each single-dose pen or single-dose vial can be stored unrefrigerated at temperatures not to exceed 30C (86F) for up to a total of 21 days