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When your B12 levels are low, you may experience: Chronic fatigue and weakness Difficulty concentrating or memory loss Tingling or numbness in your hands and feet Mood swings or increased irritability Pale skin and shortness of breath B12 injections are a direct, effective way to restore optimal levels for those with malabsorption issues (such as people with gastrointestinal disorders, vegetarians, or those taking specific medications)

In general, when encountering neurodegenerative disease, epilepsy, or dystonia, together with neuroimaging showing basal ganglia changes should be considered as a possibility of BTBGD [68]