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Warning signs include persistent fatigue despite adequate sleep, cold intolerance (especially cold hands and feet), menstrual irregularity or cessation in female subjects, hair thinning or shedding, and mood disturbances (irritability, low motivation)

Therefore, a vitamin B12 deficiency primarily affects vegans, vegetarians, the elderly, and individuals with certain gastrointestinal disorders

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It triggers the pancreas to subsequently release insulin, which in turn switches on the transportation of glucose into the cells, particularly the liver and muscle cells

The physician will decide whether the missed dose needs to be given at a later time or if the regimen should be modified

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