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Furthermore, B12 deficiency is associated with elevated homocysteine levels, which have been implicated in various inflammatory processes

Vitamin B12 deficiency can result in either less red blood cells or deformed red blood cells being formed which will lead to a range of health problems including anaemia

People describe it as shooting or searing, and it may come with numbness or weakness

Treatment typically requires intramuscular hydroxocobalamin injections (1 mg three times weekly initially, then every 23 months lifelong) when malabsorption or neurological symptoms are present

Unlike oral supplements, an injection delivers vitamin B12 directly into the body without relying on digestive absorption which can be reduced by age, certain medications such as proton pump inhibitors or metformin, or gastrointestinal conditions

In serious cases, doctors might suggest different types of B12