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Why do I have fatigue & tingling despite vitamin B12 injections?

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Patient's Query

Hi doctor,

I have had low B 12 in the past (135 ngl) and seven years back had injections via my GP. These finished five years back. Recently have had symptoms come back and had my B12 checked and it was low, 265, but in the recommended range, however, I do take a supplement with B12 in it which would have pushed my level up a bit. My symptoms are fatigue, pins, and needles in hands and feet, slow cognition. Should I be receiving injections again?

Please guide.

Hello,

Welcome to icliniq.com.

The fatigue and pins and needle sensation are suggestive of B12 deficiency-induced neuropathy. Your B12 is within the limit but borderline deficiency. I suggest you take B12 injection again as you did earlier. However, your detailed neurological evaluation also should be done. You can consult nearby physician for detailed evaluation and get prescription accordingly.

I hope this helps you.

Thank you.

Medically reviewed byDr. Divya Banu M

Published At August 14, 2019
Reviewed AtJune 3, 2026

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