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Perimenopause, Hormonal Weight Gain, and Body Composition Changes Hormonal shifts often lead to sudden, unexplained weight gain around the midsection

Elevated serum B12 values in serious conditions Maybe the concern for a possible overdose is caused by the knowledge that some life-threatening diseases can be accompanied by a strong increase in the B12 blood value, in some cases to even 30 times the upper reference value

Unexplained muscle weakness or general sluggishness throughout the day