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Gastrointestinal surgery can also affect B12 absorption

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Common signs include: Fatigue and weakness Neurological changes, such as numbness or tingling in the hands and feet Megaloblastic anemia, characterized by large, abnormal red blood cells Cognitive difficulties, including memory loss and confusion Early detection and treatment of B12 deficiency can make a big difference

B12 shots are generally considered safe and may be recommended if you have a lab-confirmed deficiency

How often can I get a B12 shot