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The toxicity models described earlier are also based on acute toxicity and a narcotic mode of action, although (as this chapter highlights) there are many other mechanisms of action and sublethal effects that have implications at the individual, population, and ecosystem levels as a result of both acute (not lethal and also including delayed responses) and chronic longer-term exposures

These may include: Constant fatigue, even with adequate sleep Brain fog or difficulty concentrating Mood swings or increased irritability Tingling or numbness in the hands and feet Pale skin and shortness of breath Headaches or dizziness If youre experiencing any of these signs, B12 Injections may be a simple and effective way to restore your levels and alleviate symptoms

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Second, it is given SC, IM or orally weekly injections or daily capsules, titrated to serum cobalamin but not intravenously