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
It is visible in her interactions, delivery of care and acute attention to detail
Regular monitoring through blood tests can help assess your B12 levels and adjust the frequency of injections as necessary
They should avoid strenuous exercise for 24 hours
How frequently you need to receive B12 shots depends on the medical conditions you suffer from due to vitamin B12 deficiency
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