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Common signs and symptoms include the following: Cognitive issues, especially those that deal with memory Extreme fatigue Depression Frequent headaches Problems with maintaining balance Changes in vision Megaloblastic anemia Heart palpitations Pale skin Weight loss Infertility Numbness and tingling in the hands and feet A sore tongue Low appetite Constipation Vitamin B12 Deficiency Risk Factors You have a higher risk of developing vitamin B12 deficiency if you have specific health problems

doi: 10.1097/QAI.0000000000001480 35 LamJHNgHHMLimCJSimXNMalavasiFLiHet al

The VICP requires a documented link between the injection and the injury, and that connection forms through medical records, timelines, imaging, treatment notes and expert interpretation

But you may need a few weeks of regular treatment before you notice significant changes and your condition improves