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Common symptoms include: Persistent fatigue and weakness , despite adequate sleep Brain fog and difficulty concentrating Numbness or tingling in hands and feet, an early sign of neuropathy Pale or jaundiced skin Shortness of breath and heart palpitations Megaloblastic anemia , meaning enlarged, abnormally shaped red blood cells Mood changes , depression, or memory issues Glossitis , an inflamed, swollen tongue If you experience several of these symptoms, consult a healthcare provider and request a serum B12 blood test before self supplementing

Int J Environ Res Public Health 2020, 17

Immediately after surgery you will be completely NPO (nothing by mouth)

Severe Hypokalemia: A Critical Drop in Potassium Levels One of the most serious complications of B12 replacement therapy in severe megaloblastic anemia (a type of anemia where blood cells are abnormally large) is the development of severe hypokalemia (dangerously low potassium levels in the blood)

B12 Patients from Bergenfield, NJ + Bergenfield is a short drive from Cresskill