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However, healthy individuals with intact B12 metabolism convert cyanocobalamin efficiently

Millions pop B12 tablets, sprays, gummies, or get shots each year

Common symptoms include: Shooting, burning or stabbing pain Tingling and numbness Spontaneous pain Pain that occurs without a trigger Evoked pain, or pain caused by events that are normally not painful Chronic sensations that are unpleasant or abnormal Difficulty sleeping or resting Emotional problems and loss of sleep Constant pain may occur intermittently Sharp pain or cramps Reduced ability to feel pain or numbness Changes in body temperature Muscle weakness Loss of reflexes Increased skin sensitivity Severe foot problems Bone or joint pain Loss of balance Excessive sweating Heat intolerance Changes in blood pressure Nausea or vomiting Abdominal bloating Dizziness Blurred vision What causes neuropathy in the feet

Respirol (Carlton Vic) 18(2):255262