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Report anything persistent or severe to your provider, who monitors your response throughout treatment

Sprays are often recommended for better absorption rates

Cyanocobalamin can also be prescribed to treat pernicious anemia, a condition where the body is unable to absorb sufficient amounts of vitamin B12 from food

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That said, signs or symptoms that you may be low in vitamin B12 include: fatigue pale skin headaches symptoms of depression stomach issues difficulty focusing or concentrating pain or inflammation in the mouth or on the tongue burning or pins and needles feeling in your hands or feet muscle cramps vision changes Learn more: Signs and symptoms of B12 deficiency

It is advisable to maintain a balanced diet, but for optimal absorption, avoid hot beverages or meals one hour after use