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Exercise Regular physical activity helps ease both the physical and emotional changes of perimenopause, says Dr

The most prevalent symptoms of vitamin B12 deficiency are neurologic, such as paraesthesia in hands and feet, muscle cramps, dizziness, cognitive disturbances, ataxia, and erectile dysfunction, as well as fatigue, psychiatric symptoms like depression, and macrocytic anaemia." Even if a person gets enough vitamin B12 in their diet, some underlying health conditions can affect the absorption of vitamin B12 in the gut

You must obtain a prescription from a doctor whose scope of practice allows them to prescribe drugs (MD, DO, ND/NMD) or a nurse with prescription rights who is under the direct supervision of a physician

The British Society for Haematology emphasises that treatment should not be delayed whilst awaiting confirmatory test results if clinical suspicion of B12 deficiency is high, particularly when neurological symptoms are present