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Prescription products require an online evaluation with an independent licensed medical professional who will determine if a prescription is appropriate

The upper arm The back of the upper arm, specifically the fleshy area between the shoulder and the elbow, is the third approved site

Common symptoms of a vitamin B12 deficiency include: Tiredness Lethargy Feeling faint Breathlessness Less common symptoms include: Headaches Heart palpitations Altered taste Loss of appetite Ringing in the ears (tinnitus) Looking pale Sore mouth and tongue If it is left untreated you can end up with longer term problems including: Psychological problems such as depression, confusion, memory problems Nerve problems such as numbness, pins and needles, vision changes and unsteadiness A blood test can indicate if you have a B12 deficiency

This trial compared 100 mg PPS once daily, 100 mg PPS three times daily, and placebo for 24 weeks