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Neurological manifestations are among the most concerning signs: Paraesthesia (pins and needles) in hands and feet Numbness or altered sensation in extremities Difficulty with balance or coordination Memory problems or difficulty concentrating Mood changes, including depression or irritability Visual disturbances in rare cases These symptoms may be particularly difficult to distinguish from diabetic neuropathy, making objective assessment through blood testing essential rather than relying solely on clinical presentation

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However, for anyone with absorption issues (like pernicious anemia or IBD), oral supplements are often insufficient

Also Read: Vitamin b12 ki kami se skin par kya hota hai Prevents Skin Conditions Vitamin B12 deficiency has been associated with diseases such as hyperpigmentation, vitiligo and eczema