b12 injection pain management trazodone as a Treatment for Peripheral Neuropathic Pain: A Systematic Review Common side effects include drowsiness/sedation Pharmacologic Management of Neuropathic Pain
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A mild deficiency may not cause any symptoms

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Plant-based individuals can find food sources of vitamin B12 in products like nutritional yeast

[1] [2] However, longstanding neurological complications, such as peripheral neuropathy or cognitive changes, may require three to six months of consistent treatment before significant improvement occurs, and some damage may be irreversible if treatment is delayed
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