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In severe cases, this may be accompanied by sweating, shortness of breath, chest pain, hoarseness, facial swelling, and fever

Treatment of TN involves a multifaceted approach that considers patient-specific factors, including the type of TN, with initial pharmacotherapy followed by surgical options if necessary

People who have had bariatric surgery Previous bariatric surgery, particularly gastric bypass, permanently alters the digestive anatomy in ways that reduce B12 absorption

Other common symptoms of B12 deficiency include: Lethargy or a total lack of energy Extreme fatigue Palpitations Pale skin Feeling faint Breathlessness Weight loss and loss of appetite Your doctor may prescribe B12 injections in extreme cases that take effect right away

Inform your doctor if these side effects persist

Thankfully, the worst of my acne started to clear up a year later, but my skin has never been completely clear like it used to be