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The FDA explains that compounded drugs are not FDA-approved , meaning the agency does not verify their safety, effectiveness, or quality before marketing (see Compounding and the FDA: Questions and Answers )

Understanding your options and what to expect Delivery timing and how the process works General questions before you decide Why Vitamin B12 Deficiency Causes Fatigue The mechanism by which vitamin B12 deficiency causes tiredness is multifaceted, involving several interconnected physiological processes

Who Should Be Cautious or Talk to a Clinician First While B12 supplementation at standard doses is safe for most people, certain situations call for extra care and professional guidance