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Neuropathy or neurological disease: Although evidence is mixed, injections are often given when deficiency is linked to nerve pain or cognitive symptoms

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If you don't treat your B12 deficiency, it can lead to more severe neurological problems, including: Problems walking or speaking Vision loss Numbness or tingling Muscle weakness Difficulty remembering things Depression or mood swings Treating vitamin B12 deficiency Treatment depends on the reason for your low levels of B12