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10.1136/bmj.i4919 54 SterneJ

Short communication silibinin and neurological diseases

Common symptoms of a vitamin B12 deficiency include: Tiredness Lethargy Feeling faint Breathlessness Less common symptoms include: Headaches Heart palpitations Altered taste Loss of appetite Ringing in the ears (tinnitus) Looking pale Sore mouth and tongue If it is left untreated you can end up with longer term problems including: Psychological problems such as depression, confusion, memory problems Nerve problems such as numbness, pins and needles, vision changes and unsteadiness A blood test can indicate if you have a B12 deficiency

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Taking more than 2400mg of guaifenesin in 24 hours significantly increases nausea and vomiting risk, especially in adults over 65 or those with kidney problems