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An untreated vitamin B12 deficiency can lead to neurological problems or pernicious anemia, which occurs when your body doesnt have enough B12 to produce the amount of red blood cells it needs ( Vitamin B12 shots are typically the most common way to prevent or treat a deficiency

Without intrinsic factor, oral supplements won't work, making injectable B12 for humans often necessary

In the most basic sense, it means that you have enough B12 floating around in your body, but you arent activating the B12 to be used

Physical symptoms may include weakness, pale or yellowish skin, numbness or tingling in extremities, balance difficulties, mood changes including depression or irritability, and tongue inflammation