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If you don't treat your B12 deficiency, it can lead to more severe neurological problems, including: Problems walking or speaking Vision loss Numbness or tingling Muscle weakness Difficulty remembering things Depression or mood swings Treating vitamin B12 deficiency Treatment depends on the reason for your low levels of B12

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The majority of the reported adverse experiences following dosing with Nascobal (Cyanocobalamin, USP) Gel for Intranasal Administration and intramuscular vitamin B 12 were judged to be intercurrent events