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There are also broader signs that may travel with vitamin B12 deficiency and neuropathy, including fatigue, brain fog, mood changes, and tongue soreness

Williams notes the following antidepressant options that may help treat neuropathy: Selective serotonin reuptake inhibitors (SSRIs), such as fluoxetine (Prozac) and sertraline (Zoloft), which restore the chemical balance in the nerve cells of the brain Serotonin and norepinephrine reuptake inhibitors (SNRIs), such as duloxetine (Cymbalta) and venlafaxine (Effexor), which inhibit the production and release of specific neurotransmitters, including serotonin and norepinephrine Norepinephrine reuptake inhibitors (NRIs), which inhibit the reuse of the neurotransmitters dopamine, serotonin, and norepinephrine Serotonin receptor modulators, such as trazodone (Oleptro), which increase the levels of serotonin and norepinephrine in the brain available to transmit signals to other nerves Common over-the-counter medications can provide some relief from mild-to-moderate neuropathic pain, according to Williams

The generic Cyanocobalamin Ampoule 1000 mcg/ml comes form Canada manufactured by Sandoz

Oral B12 is effective for regular upkeep, while injections ensure quicker and more dependable results