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If low B12 damages this sheath, nerve signals can misfire, leading to symptoms like tingling, numbness, or that awful pins and needles feeling

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For those managing a confirmed deficiency rather than simply maintaining levels, the treatment approach shifts significantly

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Secondary site: Near the lateral epicondyle (bony prominence on the outer knee) and the fibular head (the small bump below and to the outside of the knee)

This passive absorption is adequate only when cobalamin is administered at high doses (i.e