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According to the NHS, the symptoms of vitamin B12 deficiency include iii : Pale, yellowish skin A sore and red tongue Mouth ulcers Pins and needles Irrtability Depression Disturbed vision Changes in the way you move, think, feel or behave Cognitive problems, such as a decline in memory, understanding and judgement You can get the vitamin B12 you need from foods such as meat, fish and dairy products

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The standard UK regimen involves hydroxocobalamin 1mg intramuscularly on alternate days until no further improvement occurs , typically requiring 10–20 injections