If the underlying physiology creates a persistent tendency toward weight gain, ongoing pharmaceutical support may be the most effective strategy, just as ongoing antihypertensive therapy is the most effective strategy for people with essential hypertension
Anything more than that, and you need to speak up
Weakness, pale pallor, and light-headedness are all early signs of B12 deficiency
More serious B12 deficiencies have the potential to impair heart and neurological function, leading to a wide range of serious symptoms, including but not limited to tinnitus, severe joint pain, memory problems, depression, anxiety, poor muscle function, ataxia and changes in reflexes
Healthcare providers will check your blood tests and symptoms to determine the right dose and frequency