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18 As Thakkar and Billa, they point out potential concerns for smokers, but again this is based on an article from 1970

Your prescribed injection method and dosage are determined by your doctor and provided by your pharmacy

Subcutaneous: These injections are less common

Neurological symptoms often develop gradually and may include: Paraesthesia : tingling or 'pins and needles' sensations, typically starting in the feet and hands Numbness : reduced sensation in the extremities, which may affect balance and coordination Burning pain : particularly in the feet, often worse at night Weakness : muscle weakness and difficulty walking Balance problems : unsteady gait and increased fall risk due to proprioceptive impairment Cognitive changes : memory problems, confusion, difficulty concentrating, and mood disturbances Haematological signs may accompany neurological symptoms and include fatigue, weakness, pallor, and shortness of breath due to megaloblastic anaemia

Proper dose escalation to minimize side effects Nausea and fatigue, the symptoms often attributed to b12 needs, more commonly result from starting doses too high or escalating too quickly

But before you decide if its right for you, lets clear up a few things especially around how much a B12 injection cost in Oldham and what it actually does for your body