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Identifying a B12 deficiency is crucial for determining whether injections are necessary

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Manifestations include tingling and numb extremities, motor disturbances such as abnormalities of gait, and cognitive changes that range from memory loss and depression to frank dementia, with or without mood changes (Goodman & Salt, 1990)

Vitamin B12 plays a crucial role in: Red blood cell production Brain and nerve function DNA synthesis Energy metabolism A deficiency can lead to symptoms like: Fatigue and weakness Poor concentration or memory Pins and needles Pale skin Low mood or irritability If left untreated, long-term deficiency can cause nerve damage and other health issues

the pain that cannot be entirely be explained by nociceptive or neuropathic mechanisms