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That said, signs or symptoms that you may be low in vitamin B12 include: fatigue pale skin headaches symptoms of depression stomach issues difficulty focusing or concentrating pain or inflammation in the mouth or on the tongue burning or pins and needles feeling in your hands or feet muscle cramps vision changes Learn more: Signs and symptoms of B12 deficiency

If you are taking the injections for a specific medical reason, for instance, as part of recovery from surgery or illness, your doctor will monitor objective markers

Because your body can store B12 for 2 to 5 years, a serious B12 deficiency is rare

B12 supports nerve function and red blood cell production, which relate to mental clarity and steady energy