does b12 injections help with neuropathy Treatment for peripheral Can B12 Help With Neuropathy?:

IVW, inverse variance weighted

Testing B12 levels Blood testing cannot determine B12 need

Studies reviewed by Hector and Burton involving 91 patients with hypovitaminosis B12 who exhibited neuropsychiatric symptoms found that clinical improvement was achieved in many individuals through vitamin B12 replacement therapy (74)

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Symptoms range from fatigue, pallor, and palpitations to tingling, numbness, balance problems, and cognitive changes neurological damage can be irreversible if untreated

The explanation is usually that the absorption pathway is too compromised for oral dosing to meet the deficit, so we need to switch to IM injection