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If neurological symptoms are present, treatment may involve 1mg injections on alternate days until no further improvement is seen, followed by maintenance therapy

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Symptoms of vitamin B12 deficiency Other various symptoms of B12 deficiency include: A swollen, inflamed tongue Dizziness Shortness of breath Pale skin Muscle weakness Numbness or tingling in hands and feet Tiredness (low energy) Weight loss Infertility Irregular or increased heartbeats Constipation Appetite loss Flatulence Low mood (depression) High blood pressure or very low blood pressure Vitamin B12, Vitamin B6 and Folate There is a strong interrelationship between vitamin B12, vitamin B6 and folate (also known as vitamin B9)

Hydroxocobalamin B12: The "Storage" Form: Shown to be stored and stays in the bloodstream longer and is universally distributed through the body to ensure long-lasting B12 levels

Bleeding is possible if a blood vessel is pierced

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