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Limit activities that could raise blood pressure (like exercise) Any activities that could raise blood pressure are best avoided for up to 48 hours following treatment

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Peripheral neuropathy, subacute combined degeneration of the spinal cord, or cognitive impairment indicate more advanced deficiency and generally require intensive treatment over extended periods

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Any deficiency will contribute to fatigue, poor appetite, depression, and numbness/tingling in the hands and/or feet