People with low B12 may experience: Persistent fatigue or low energy Weakness Brain fog, concentration issues, or memory changes Low mood or irritability Pins and needles, numbness, or nerve-type sensations Mouth ulcers or a sore tongue Paleness or shortness of breath (if anaemia is present) Some symptoms can become more serious if deficiency is prolonged, particularly neurological symptoms
The study found no impact on folate levels, but reported a 5% reduction in serum B12 levels when women went from 0 to 30 g of alcohol a day
Criteria for treatment and management Optimum maintenance dose is 1000 g at intervals of 12 weeks Follow-up annual blood count is required to avoid relapse You see the obsession with blood values and yet no instruction to listen to patients, some of whom relapse only a matter of days post injection
Rather than injecting large doses infrequently (most of which you will flush out within an hour), its much better to inject smaller, daily doses
What Else Does B12 Treat
The right choice depends on your individual cause of deficiency, your symptoms, and how quickly you need results