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Symptoms of B12 Deficiency The symptoms of vitamin B12 deficiency include a mixture of the physical symptoms associated with peripheral neuropathy, as well as cognitive issues: Physical Symptoms Peripheral Neuropathy experiencing unpleasant sensations in the extremities (the hands, arms, legs and feet) due to nerve damage, such as those listed above Despite feeling the minor irritating phenomenon of pins and needles, persistently feeling the sensation may suggest that you have nerve damage, which should be taken seriously Issues with your eyesight, such as visual disturbances or impairments Experiencing paralysis in areas such as the extremities can suggest that nerve damage has become severe, so medical intervention should be sought as soon as possible

Many people notice improved energy within hours, better sleep that same night, and sustained benefits for weeks

Cauda equina syndrome is the most serious emergency - if you experience loss of bladder or bowel control, numbness in your groin area, or severe weakness in both legs, you need emergency care immediately

Top 5 best Vitamin B12 supplements for older adults 1