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Even if a person is not deficient in Vitamin B12, as defined by a blood test, the symptoms of a B12 deficiency may include: Feeling weak or tired Problems with vision Headaches Pins and needles Reduced mental functions Wish to check you vitamin B12 levels

Keep consecutive injections at least one inch apart from any previous site, and avoid any area that is bruised, scarred, inflamed, or still tender from a previous dose

These physical symptoms can all arise from low levels of B12

Supplementary material The Supplementary Material for this article can be found online at: References 1 AdachiS.KawamotoT.OtsukaM.TodorokiT.FukaoK