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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

If you do notice any reaction at the injection site (such as warmth or a small lump), it can help to gently apply a cool compress

Benefits of Oral Vitamin B12 Supplements Convenient and Easy to Use : Oral supplements are straightforward to take and do not require professional administration