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Some common signs and symptoms include: Decreased cognitive function, such as issues with memory or understanding Fatigue Lethargy Constipation Feeling faint Depression or irritability Headache Difficulty maintaining balance Sore, swollen tongue, which may be pale yellow or very red Heart palpitations Mouth ulcers Par anesthesia (pins and needles) Vision changes B-12 deficiency risk factors Both diabetes and some medications for type 2 diabetes can increase the risk of vitamin B-12 deficiency

For some patients, especially those with low energy tied to nutritional gaps, support can make it easier to stay consistent

More testing is needed

This is because they dont need to be digested, which avoids the risk of low absorption

They inject the vitamin into the fat just under the skin, often in the belly or upper arm

It helps convert nutrients into ATP, the energy currency of the body