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Symptoms of B12 deficiency include fatigue, weakness, anemia, memory loss, mood changes, and nerve problems such as numbness or tingling in the hands and feet

Each time, it rose with the flood and then settled back down on the ground as the waters receded

When to seek medical help See a doctor promptly if you have spreading redness or warmth around the site, discharge or a fever, numbness or weakness that does not settle, or any swelling of the face, lips or throat or difficulty breathing, which can signal a rare allergic reaction and is a medical emergency

Persistently high levels warrant medical investigation to identify any underlying cause