Common neurological manifestations include: Paraesthesia (pins and needles) in the hands and feet Numbness and altered sensation Difficulty with balance and coordination (ataxia) Memory problems and cognitive impairment Mood changes, including depression and irritability In severe cases, visual disturbances and confusion These neurological features arise from demyelination of peripheral nerves and the spinal cord, a condition known as subacute combined degeneration when it affects the posterior and lateral columns of the spinal cord
(2010) Effect of physiological doses of oral vitamin B12 on plasma homocysteine: a randomized, placebo-controlled, double-blind trial in India
However, the B12 itself can stay in your system longer, with effects on red blood cell production and nerve health lasting for weeks or months, depending on your deficiency and injection frequency
mRNA capping: biological functions and applications
Storage: Store unreconstituted vials at 28C
Do not use as a substitute for evaluation of persistent pain, swelling, gastrointestinal bleeding, or suspected tendon rupture