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Researchers are also studying how these medications may shift the gut microbiome, including bacteria such as Akkermansia muciniphila

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What We Do / Dont Do We Do: Provide telemedicine consultations Coordinate prescriptions with licensed pharmacies Offer structured patient support We Dont: Compound or dispense medications ourselves Sell medications directly Important Safety Information Vitamin B12 injections require a providers prescription

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Signs and Symptoms Symptoms can develop slowly and may include: Constant tiredness or weakness Pale or yellow skin A sore, red tongue, or bleeding gums Tingling or numbness in the hands and feet Dizziness and shortness of breath, even with light activity Confusion, slower thinking, forgetfulness, and memory loss Causes and risk factors The condition can develop for several reasons, including: A vegan or vegetarian diet (since Vitamin B12 is mainly found in animal products)