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The frequency can range from weekly to monthly, depending on your lifestyle and how your body responds

Some of the signs of lower B12 levels in your body include: Pale or yellow-tinged skin Weakness and fatigue Balance and coordination are affected A sensation of pins and needles Mouth ulcers Blurred or disturbed vision On rare occasions, high temperature Mood changes Rani MD Treatment of vitamin B12 deficiency often includes dietary changes, B12 shots, or supplements

When B12 levels drop, it can lead to fatigue, cognitive difficulties, mood imbalances, nerve problems, and even anemia

Chronic Helicobacter pylori infection damages the stomach lining and reduces the production of hydrochloric acid and intrinsic factor