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The Pain Management team at North Carolina Specialty Hospital understands this and offers lumbar epidural steroid injections to help manage the discomfort of conditions affecting the lower part of the spine

But 1500 mcg is still a therapeutic dose

Other causes include certain medications and medical conditions hindering B12 absorption

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Signs of Vitamin B12 deficiency Persistent tiredness or weakness Pale or yellowish skin Shortness of breath on exertion Loss of appetite Pins and needles (especially in hands or feet) Poor concentration or brain fog Low mood or anxiety Glossy, sore tongue Left untreated, B12 deficiency can lead to pernicious anaemia , a condition that requires medical management

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