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Tablets just as effective Over-the-counter B12 tablets are a fraction of the cost of shots, and have been shown in a British-Canadian study to work just as well for most people, although some people with digestive conditions may have difficulty absorbing the vitamin in tablet form

Neurological symptoms can include tingling or numbness in the hands and feet (peripheral neuropathy), a sensation often described as "pins and needles"

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Second, the increase in synaptic norepinephrine directly stimulates the sympathetic nervous system

The signs you may need B12 supplementation include persistent fatigue, neurological changes, and blood-related abnormalities

When the inflammation is controlled, the gut lining is healthy, and poor nutrient absorption is no longer an issue