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Bethany Tennant, N.D., C.N.S., is a naturopathic doctor and certified nutrition specialist in Portland, Oregon

Symptoms of severe vitamin B12 deficiency can include visual disturbances, severe joint pain, paresthesia (tingling in the hands and feet), memory problems, depression, anxiety, poor muscle function, ataxia (impaired balance and coordination), changes in reflexes and even infertility

Can I use numbing cream before my semaglutide injection

When combined, these peptides create complementary effects: semaglutide creates a caloric deficit and stabilizes blood glucose, while sermorelin supports lean muscle retention and metabolic acceleration