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[6] If this happens, vitamin B 12 deficiency may result in sense loss, loss of sensation in the feet, difficulty walking, poor balance, blurred vision, changes in reflexes, muscle weakness, decreased smell and taste, decreased level of consciousness, mood changes, memory loss, depression, irritability, clumsiness, disorientation, dementia and, in severe cases, psychosis

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Discomfort from mild local reactions is managed by applying a cold compress to the shoulder area around the injection site and using over-the-counter pain relievers such as acetaminophen or ibuprofen as necessary

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