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Vitamin B-12 deficiency symptoms may include: strange sensations, numbness, or tingling in the hands, legs, or feet difficulty walking (staggering, balance problems) anaemia a swollen, inflamed tongue difficulty thinking and reasoning (cognitive difficulties), or memory loss weakness fatigue While an experienced physician may notice the symptoms and be able to detect a vitamin B-12 deficiency with a good interview and physical exam, a blood test is needed to confirm the condition

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Do not assume the medication is worthlesssome potency may remainbut clinical effectiveness could be compromised

Touching or rubbing the injection site: Touching or rubbing the injection site can cause irritation, infection or damage, so it is best to avoid touching or rubbing the site for at least a few hours after the injection