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Patient education: Explain that B12 shots usually relieve symptoms gradually it may take weeks to feel better
doi: 10.1111/j.1442-2050.2010.01054.x
Therefore, it is advisable to avoid excessive heat during storage and handling
Slower nutrient absorption also reduces B-vitamin intake (niacin is a NAD+ precursor)
Some of the key signs of low B12 to look out for include: Muscle weakness Numbness and tingling in the hands and feet Difficulty walking Nausea Weight loss Irritability Fatigue Rapid heart rate (7) One of the other tell-tale symptoms of a B12 deficiency is constant fatigue or being tired all the time, which can also manifest as sleep disturbances, including insomnia in some people, often requiring sleep medications
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