However, its not found in plant-based foods, which is why vegans and vegetarians are at a higher risk of vitamin B12 deficiency
(These medical considerations are managed by the patients doctors or diabetes educator.) Insulin Syringe vs
Avoid touching the powder directly and use clean implements for handling
Our providers at Family Health Care can help by evaluating your symptoms and running appropriate tests, including checking your vitamin B12 levels
Discard any unused solution after this period
Neurological symptoms are particularly characteristic and may include: Paraesthesia (pins and needles) in the hands and feet Numbness or altered sensation in the extremities Difficulty with balance and coordination, often due to spinal cord involvement (subacute combined degeneration) Memory problems and cognitive impairment Mood changes, including depression and irritability Visual disturbances (rare and usually in advanced deficiency) Haematological manifestations commonly present as symptoms of anaemia: Persistent fatigue and weakness Breathlessness, particularly on exertion Palpitations or rapid heartbeat Pale or jaundiced (yellowish) skin Glossitis (sore, red tongue) Mouth ulcers Additional signs may include: Unexplained weight loss Diarrhoea or constipation Loss of appetite Muscle weakness The severity and combination of symptoms vary considerably between individuals
