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Like most treatments, vitamin B12 injections carry warnings that patients should be aware of, including: Hereditary Optic Nerve Atrophy: People with early Lebers disease (a hereditary form of optic nerve atrophy) should not receive cyanocobalamin injections, as rapid and severe vision loss has occurred
Symptoms include numbness or tingling in hands and feet, weakness, fatigue, and trouble walking
While they look identical in their powdered, vibrant blue state, their target affinities differ significantly
For patients whose levels fall in the borderline or gray zone, a methylmalonic acid (MMA) test provides greater specificity MMA levels rise when B12 is functionally inadequate at the cellular level, even if serum B12 appears borderline normal