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The National Institutes of Health recommends following their guidelines when taking vitamins

Common signs include: Fatigue Weakness Anemia Pale or yellowish skin Numbness or tingling in the hands and feet Difficulty with balance Glossitis (a swollen, red tongue) Memory or concentration difficulties If you suspect you may have a vitamin B12 deficiency, consult your healthcare provider for appropriate testing and personalized recommendations

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Other ways of supplementing with vitamin B12 include: oral tablets or capsules oral or nasal sprays drops for under the tongue Your doctor can provide advice on the most appropriate option for you