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For adults, a common dosage is weekly injections of 1000 mcg (1 mg) of vitamin B12

The main symptoms include: Extreme tiredness Lack of energy Red or sore tongue or mouth Pale skin Changes in mood Changes in movement and balance Feeling pins and needles in arms and feet Reasons for vitamin b12 deficiency Some conditions of the digestive system, such as Chrons disease

Injectable medicines should be administered by appropriately trained healthcare professionals in clinical settings with emergency resuscitation facilities available

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If you still feel a little tender, applying a cold pack to the site for about 15 minutes can also provide quick relief from pain and swelling

If blood tests show clearly low levels (thresholds vary by lab, but often below roughly 200 pg/mL) or there are signs of anemia, a provider may recommend weekly injections for the first several weeks as a correction or "rescue" phase