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However, some people may experience some pain, swelling or redness at the injection site, and in much rarer cases headaches, itching or nausea

These include: Neurological symptoms : tingling or numbness in hands and feet (paraesthesia), difficulty walking, balance problems, memory difficulties, or mood changes Haematological signs : ongoing fatigue, weakness, pale skin, or shortness of breath suggesting anaemia hasn't resolved Glossitis : a sore, red tongue that hasn't improved Cognitive issues : continued difficulty concentrating or memory problems These symptoms, particularly progressive neurological deficits or severe anaemia with cardiorespiratory compromise, may require urgent medical attention

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Depression A few observational studies have found higher dietary intakes of vitamin B 12 to be associated with lower risk of developing depression, especially among women