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Common signs include: Feeling tired all the time, even after sleeping well Brain fog or trouble focusing Forgetfulness or memory lapses Feeling low, anxious, or irritable Pins and needles in your hands or feet Pale or washed-out skin Weakness or loss of strength If its not treated, low B12 can eventually lead to nerve damage and other long-term health issues

When it comes to measuring vitamin B12 levels in the blood, normal values typically range from 160 to 950 picograms per millilitre (pg/mL) or 118 to 701 picomoles per litre (pmol/L) 3

Authors conclusions: Low quality evidence shows oral and IM vitamin B 12 having in terms of normalizing serum vitamin B similar effects 12 levels, but