Vitamin B12 deficiency: Pain felt in either of these two body regions could mean danger

In a study with the US National Library of Medicine National Institutes of Health, the many faces of a vitamin B12 deficiency was investigated.

The study noted: “The most prevalent symptoms of vitamin B12 deficiency are neurologic, such as paraesthesia in hands and feet, muscle cramps, dizziness, cognitive disturbances, ataxia, and erectile dysfunction, as well as fatigue, psychiatric symptoms like depression, and macrocytic anaemia.

“Some of the cases reported in this article, as well as the study by Smelt mentioned previously, suggest that supplementation of vitamin B12 itself, regardless of the actual vitamin B12 status, improves clinical symptoms. 

“Because symptom improvement in long-standing (subclinical) vitamin B12 deficiency may take some time, we usually advise a treatment regimen of twice weekly hydroxocobalamin injections for three months, after which a thorough re-evaluation is performed with systematic evaluation of symptom score as demonstrated in the patients.”

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