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More serous B12 deficiencies have the potential to impair heart and neurological function, leading to a wide range of serous symptoms, including but not limited to tinnitus, severe joint pain, memory problems, depression, anxiety, poor muscle function, ataxia, and changes in reflexes

Minimal Sensation Most clients report only a brief pinch with no significant discomfort

The third phase is that of metabolic alterations, in which the levels of waste products such as methylmalonic acid increase in the blood

Others find systemic injections (in the abdomen) to be just as effective and much simpler to administer