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Some of the signs of lower B12 levels in your body include: Pale or yellow-tinged skin Weakness and fatigue Balance and coordination are affected A sensation of pins and needles Mouth ulcers Blurred or disturbed vision On rare occasions, high temperature Mood changes Rani MD Treatment of vitamin B12 deficiency often includes dietary changes, B12 shots, or supplements

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Diabetes also tends to restrict circulation, which can contribute to the destruction of nerves as they fail to receive proper amounts of oxygen and nutrients in the blood