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Many people suffer from a B-12 deficiency, which can result in symptoms like fatigue, weakness, and cognitive issues

As of today May 13th, I do not feel the electric shock sensations or the ice pick head aches, but now when I do too much activity (even as simple as talking) my brain feels like its swelling up again then its gets itchy and tingly

[13] [9] Patients should report any changes in symptoms, particularly neurological manifestations, as these may indicate inadequate dosing or alternative diagnoses

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These statements have not been evaluated by regulatory authorities

SURMOUNT-MAINTAIN (Horn 2026, 112 weeks): continued top dose -21.9% vs 5 mg step-down -16.6% vs placebo -9.9%, rescue therapy 8/25/67%: Aronne JAMA 2024