As well things like Lanacane which is based on the similar Benzocaine
Neurological symptomsincluding balance problems, confusion, or peripheral neuropathyrequire urgent assessment, as prolonged deficiency can cause irreversible nerve damage
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If you have had Leber's disease (or other forms of optic nerve damage), an iron or folic acid deficiency, or low potassium, your doctor may not recommend it
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This deficiency can be caused by poor dietary consumption, a breakdown in the digestive process, or from taking certain medications that make it difficult to absorb B12 (such as antacids)