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The one issue holding back an otherwise clean record is that two of Belles four pharmacy partners carry notable regulatory histories, including a March 2025 FDA warning letter issued to BPI Labs

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Common signs include: Ongoing fatigue or weakness Pale skin Numbness or tingling in the hands and feet Brain fog, forgetfulness, or trouble concentrating Low mood, anxiety, or irritability Poor appetite or digestive upset When B12 is low, your metabolism slows, you have less energy for activity, and appetite signals can get thrown off, all of which make weight loss harder