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Tramadol is also very commonly found inside veterinary hospitals, where many of the illegal acquisitions come from

It can also be caused by less serious conditions like pinched nerves, poor posture, or stress

Last update: June 1, 2025 8 minute read Can You Take Vitamin B12 on an Empty Stomach

Neurological symptoms often develop gradually and may include: Paraesthesia : tingling or 'pins and needles' sensations, typically starting in the feet and hands Numbness : reduced sensation in the extremities, which may affect balance and coordination Burning pain : particularly in the feet, often worse at night Weakness : muscle weakness and difficulty walking Balance problems : unsteady gait and increased fall risk due to proprioceptive impairment Cognitive changes : memory problems, confusion, difficulty concentrating, and mood disturbances Haematological signs may accompany neurological symptoms and include fatigue, weakness, pallor, and shortness of breath due to megaloblastic anaemia

B12 injections are relatively pain free, you may experience a slight pinch of the skin