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In the worst-case scenario, contaminated injectables can cause serious infections or other health crises that require immediate medical attention

But, genetics and environment play a part

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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