[20] Pernicious anemia may be present without a person experiencing symptoms at first, over time, feeling tired and weak, lightheadedness, dizziness, headaches, rapid or irregular heartbeat, breathlessness, glossitis (a sore red tongue), poor ability to exercise, low blood pressure, cold hands and feet, pale or yellow skin, easy bruising and bleeding, low-grade fevers, tremor, cold sensitivity, chest pain, upset stomach, nausea, loss of appetite, heartburn, weight loss, diarrhea, constipation, severe joint pain, feeling abnormal sensations including tingling or numbness to the fingers and toes ( pins and needles ), and tinnitus, may occur
If signs of B12 deficiency are present but total B12 levels are within normal range, it can be useful to seek functional assessment
A sour, putrid, or strongly chemical smell indicates degradation
A basic GH peptide protocol using Ipamorelin alone costs $75 to $200 monthly research-grade or $200 to $400 clinical