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Symptoms may include: strange sensations, numbness, or tingling in the hands, legs, or feet difficulty walking (staggering, balance problems) anemia a swollen, inflamed tongue yellowed skin (jaundice) difficulty thinking and reasoning (cognitive difficulties), or memory loss paranoia or hallucinations weakness fatigue While an experienced physician may be able to detect a vitamin B12 deficiency with a good interview and physical exam, a blood test is needed to confirm the condition

Treatment response evaluation should focus on objective measures relevant to the specific indication being treated

Within 48 to 72 hours, your body will begin to make new red blood cells

Your doctor may do more tests

Delivery typically takes 1-2 business days depending on your location