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Symptoms of vitamin B12 deficiency The signs and symptoms of vitamin B12 deficiency include: extreme tiredness weakness pins and needles (especially in your hands and feet) mouth ulcers a swollen and sore tongue (glossitis) blurred vision poor memory depression In rare cases, it can cause heart and fertility problems

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it can help to keep the pack sticker and/or to photograph these for future reference Area injected (if any) Whether the product was replaced Patients response Any actions taken Photograph the syringe, if possible If the filler was pre-filled, you may wish to report the event to the manufacturer

But this leads to a fundamental question many ponder: does B12 shot help with fatigue

The key principle is that any combination therapy should be initiated and monitored under close medical supervision, with dose adjustments made based on glucose monitoring results and individual patient response