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Be well.

Review meds (e.g., metformin, PPIs), medical conditions (GI surgery, malabsorption), and diet with your clinician

However, correcting a deficiency often results in improved energy levels and reduced fatigue, as B12 is essential for converting food into usable energy

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B12 injections are a form of supplementation that allows a doctor to inject a synthetic version of vitamin B12, or cyanocobalamin, directly into your muscles

Symptoms of vitamin B12 deficiency Some of the symptoms that can be caused by a lack of vitamin B12 include: Poor appetite Anemia Fatigue Weakness Numbness or tingling in the hands or feet Difficulty with balance Vitamin B12 deficiency can also contribute to depression, cognitive impairment, and dementia