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Symptom Red Flags Report these to your prescriber promptly: worsening fatigue despite adequate sleep (possible copper-deficiency anemia), tingling or numbness in the feet (peripheral neuropathy from copper deficiency), new or worsened insomnia (possible alkaline-urine effect extending amphetamine half-life), or a perceived loss of Adderall XR efficacy (possible pharmacodynamic blunting)

If your doctor feels you're a good candidate for vitamin B12 injections, they'll give you a prescription for a certain dosage

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FDA.gov Sanyal AJ, Bedossa P, Engel SS, et al

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