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Some common signs and symptoms include: decreased cognitive function, such as issues with memory or understanding fatigue lethargy constipation feeling faint depression or irritability headache difficulty maintaining balance sore, swollen tongue, which may be pale yellow or very red heart palpitations mouth ulcers paraesthesia (pins and needles) vision changes When you’re starting the HCG diet, B12 injections can help boost your energy, speed up your weight loss, and help you process your foods in a way that make them easier to digest while ensuring you get the most from your nutritional intake