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Seek immediate medical attention (call 999 or attend A&E) if you experience seizures, loss of consciousness, severe sudden-onset headache, stroke symptoms, or severe hypoglycaemia with confusion

But some factors older age (ages 65 years and older) vegan and vegetarian diets digestive tract disorders history of gastrointestinal surgery, such as gastric bypass certain medications, especially if you take them long term If you take Ozempic along with metformin (a common diabetes medication), your risk of vitamin B12 deficiency is higher

If patients are experiencing uncomfortable side effects I recommend over the counter medications or can prescribe something stronger if needed