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As a result, it is often mistaken for other conditions or dismissed as simply feeling run down. These symptoms can range from mild to debilitating and often include: Fatigue or extreme tiredness Brain fog or memory problems Depression and low mood Pale or jaundiced skin Numbness or tingling in hands and feet Shortness of breath or dizziness Muscle weakness A swollen, inflamed tongue (glossitis) Pins and needles (paraesthesia) Visual disturbances Heart palpitations If left untreated, vitamin B12 deficiency can lead to serious and irreversible neurological problems

Importantly, controlled clinical trials directly measuring tendon/ligament healing, muscle repair and objective inflammatory biomarkers in humans are lacking, and most mechanistic insights still come from animal models

Why This Matters Traditional painkillers like opioids work by blocking pain signals

But even then, the injection site makes a difference