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Some of these symptoms include: Sensations that are unusual including tingling in the feet, legs, and/or hands Numbness Difficulty walking, this will be including issues with your balance and staggering when walking Anemia Inflamed or swollen tongue Memory loss, having a hard time reasoning or thinking Weakness Fatigue How often should you get a B12 shot

In some cases, they may recommend a B-vitamin injection

Tissue-level deficiency of cobalamin is associated with an increase in the urinary and serum concentrations of an organic acid called methylmalonic acid, which is an alternative product of a cobalamin dependent pathway within the mitochondria

The source is the single biggest reason results differ