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Other common symptoms of B12 deficiency include: Lethargy or a total lack of energy Extreme fatigue Palpitations Pale skin Feeling faint Breathlessness Weight loss and loss of appetite Your doctor may prescribe B12 injections in extreme cases that take effect right away

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The effects generally last between 1 and 4 weeks, depending on your bodys metabolism, B12 usage, and the severity of the deficiency