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Early warning signs of Vitamin B12 deficiency often include persistent fatigue and weakness, brain fog, memory and concentration issues, a smooth or sore tongue (glossitis), pale or yellowish skin, and tingling sensations in hands or feet

The ampoules were probably OK for a short while after expiration , but I would not use them now 4 months later

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Maquart et al

Get it right and every dose you draw will be precise, stable, and effective