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Understanding the condition's pathophysiology helps both patients and healthcare professionals appreciate why symptoms can be diverse and why treatment approaches vary depending on the underlying cause

Anyone with a known cobalt or cobalamin allergy

For another, some people have trouble digesting and absorbing the nutrients from supplements

A Vitamin B12 shot is a medical-grade intramuscular injection of cholecalciferol-quality, pure cobalamin (the active form of B12)

Vitamin B12 deficiency can also cause symptoms that affect the brain and nervous system (neurologic symptoms), including: Numbness Muscle weakness Mental health problems, ranging from mild depression or anxiety to confusion and dementia Balance and coordination issues Needles and pins Incontinence What is the best form of vitamin B12 to take