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If your B12 deficiency has caused nerve damage, you may experience symptoms such as: Numbness or tingling (pins and needles) in your hands or feet Difficulty with balance, coordination, or walking Significant memory loss, confusion, or cognitive changes If you have any of these neurological manifestations, intramuscular injections remain the absolute gold standard for treatment [18] [19]

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Staley K, Ahmadi KR, Carter K, et al