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Other symptoms of B12 deficiency, such as numbness and tingling in the hands and feet, are also common in people with diabetes and spinal stenosis

Patient self-management: Many patients become adept at recognising early signs of B12 deficiency (such as fatigue or paraesthesia) if injections are delayed

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Mainly, vitamin B12 occurs in animal foods, making people following a plant-based diet have a higher risk of vitamin B12 deficiency

The recommended daily intake (RDI) of vitamin B12 is 6 micrograms per day