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Annesley SJ, Fisher PR

Common signs include: Burning or shooting nerve pain in your feet Tingling sensations that may worsen at night Numbness that typically starts in the toes and spreads upward Increased sensitivity to touch or temperature Muscle weakness affecting balance and coordination Loss of reflexes in the feet and ankles Difficulty sensing foot position, increasing fall risk Symptoms often manifest gradually and may be mild at first

Many users find abdomen injections less painful because theres typically more subcutaneous fat in that area

The increase in circulating cobalamin levels is predominantly caused by enhanced production of haptocorrin