Neurological symptoms often develop gradually and may include: Paraesthesia : tingling or 'pins and needles' sensations, typically starting in the feet and hands Numbness : reduced sensation in the extremities, which may affect balance and coordination Burning pain : particularly in the feet, often worse at night Weakness : muscle weakness and difficulty walking Balance problems : unsteady gait and increased fall risk due to proprioceptive impairment Cognitive changes : memory problems, confusion, difficulty concentrating, and mood disturbances Haematological signs may accompany neurological symptoms and include fatigue, weakness, pallor, and shortness of breath due to megaloblastic anaemia
Authors conclusions: Low quality evidence shows oral and IM vitamin B 12 having in terms of normalizing serum vitamin B similar effects 12 levels, but
Cavallucci, V
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Managing the correct code selection across dozens of injection scenarios is a daily challenge for billing teams
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