That is, after the initial treatment with injections of B12, dietary supplements of B12 (cyanocobalamin tablets) may be advised instead of injections
Published dosing context mainly involves topical clinical-study use, diabetic-ulcer wound studies, and newer registered topical wound-healing trials, not an FDA-approved injectable label [3], 7
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[6] [3] [10] A mild deficiency may not cause any discernible symptoms, but moderate deficiency can cause various symptoms, such as feeling tired, lightheadedness, headaches, cold intolerance, pale skin, sore tongue, upset stomach, loss of appetite, hair and skin color changes, numbness or tingling (pins and needles) of the fingers and toes, and tinnitus, and vision, cognitive or psychological problems
George BP, Abrahamse H
Further, there might be other factors related to acetaminophen use, such as fevers (which are known to cause increased rates of neurodevelopmental delays)