Neurologic symptoms The neurologic symptoms of vitamin B 12 deficiency are myriad and include numbness and tingling of the hands and, more commonly, the feet (peripheral neuropathy)
B12 (cobalamin) is a single nutrient essential for red blood cell formation, nerve function, and DNA synthesis, whilst B complex provides all eight B vitamins working together to support metabolism and energy production
IMPORTANT INFORMATION ABOUT COMPOUNDED MEDICATIONS This medication has been compounded (custom-prepared) by a pharmacy
14 Important differential diagnoses to consider include medication side effects (eg, methotrexate, chemotherapy, or antibiotics such as trimethoprim), and malabsorption due to an anatomic or autoimmune cause (pernicious anemia), as well as a primary bone marrow pathology such as myelodysplastic syndrome
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Therefore, older individuals might require more frequent B12 injections to maintain optimal levels compared to younger counterparts