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Emergency signs requiring immediate medical attention include progressive weakness in the leg, foot drop, or loss of bowel/bladder control (cauda equina syndrome) these require urgent evaluation

B12 Shots: Boosting Your Energy Vitamin B12 is essential for your body, playing a pivotal role in keeping your nerves and blood cells healthy

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if only B12 is deficient, hydroxocobalamin may allow longer intervals
Lab Monitoring Included Average body weight lost in clinical trials over 68 weeks Self-administered injection

found that there was no difference among those with normal and decreased vitamin B 12 levels and the presence of neuropathy [14]