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The 4 stages of B12 deficiency include (31): Stage 1: decreased levels of vitamin B12 in your blood Stage 2: low levels of vitamin B12 in your cells along with metabolic abnormalities Stage 3: neurological and psychological symptoms like anxiety, confusion, problems with balance, and others Stage 4: macrocytic anemia very large red blood cells (32) B12 deficiency can cause a variety of symptoms, including fatigue, headaches, depression, pale or yellow skin, mental impairment, and pain and inflammation in the mouth and tongue

It needs to be reconstituted prior to use

For those who follow plant-based diets, B12 injections are an excellent way to maintain energy levels without dietary changes

The B-12 doesnt seem to pack the same punch as the injections I have received at my doctors office previously