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Here are some of the signs of B12 deficiency to look out for: Numbness, tingling, or a pins and needles feeling in the hands or feet (even if slight or minor) Falling or losing your footing more than usual or without reason Not being able to stay balanced Stiff muscles Vision changes Symptoms of psychosis (e.g., hallucinations, paranoia, disorganized thoughts, or schizophrenia-like symptoms) Severe or unusual tiredness Memory issues Sometimes, these symptoms can develop gradually

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Use sterile handling, avoid vigorous shaking and repeated freeze-thaw cycles, and do not use the material if the seal is damaged or if persistent particles, unexpected cloudiness, or discoloration is present after dissolution