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Symptoms include fatigue, weakness, pale skin, shortness of breath, constipation, and tingling in the hands and feet

+ Case 1 - Let's Talk Withdrawal A 34-year-old male with PMH significant for traumatic amputation of his left hand 6 months ago presents to the ED with a chief complaint of anxiety. The patient reports significant anxiety and night terrors related to the incident (crush injury in a garbage truck) which resulted in amputation of his left hand 6 months ago

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Because B12 symptoms can look like symptoms of other diseases, diagnosing a B12 deficiency can be challenging

The treatment involves a quick and relatively painless injection by a healthcare professional, typically taking only a few minutes

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