Neurological symptoms often develop gradually and may include: Paraesthesia : tingling or 'pins and needles' sensations, typically starting in the feet and hands Numbness : reduced sensation in the extremities, which may affect balance and coordination Burning pain : particularly in the feet, often worse at night Weakness : muscle weakness and difficulty walking Balance problems : unsteady gait and increased fall risk due to proprioceptive impairment Cognitive changes : memory problems, confusion, difficulty concentrating, and mood disturbances Haematological signs may accompany neurological symptoms and include fatigue, weakness, pallor, and shortness of breath due to megaloblastic anaemia
Measure the total volume in the vial (if possible, by drawing it all out with a syringe, noting the volume, and injecting it back)
Morning dosing primarily helps establish a routine, improving adherencea critical factor in correcting deficiency
Your elbow is comprised of bones, ligaments, tendons, cartilage and lubricating fluid
Many local guidelines on B12 replacement therapy are also available
Most clients report that the injections are quick and painless