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What the case cannot include is effectiveness at producing weight loss , because the clinical evidence does not support it

To control diabetes, a patient receives a subcutaneous insulin injection
People with low B12 may experience: Persistent fatigue or low energy Weakness Brain fog, concentration issues, or memory changes Low mood or irritability Pins and needles, numbness, or nerve-type sensations Mouth ulcers or a sore tongue Paleness or shortness of breath (if anaemia is present) Some symptoms can become more serious if deficiency is prolonged, particularly neurological symptoms

The key point: B12 treatment reliably helps people who are actually low in B12