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The most common cause id due to a condition called pernicious anaemia

Contact a healthcare provider if you notice: Persistent or worsening neuropathy symptoms, such as tingling, numbness, burning pain, or weakness New or unusual side effects, including skin rash, itching, or acne-like breakouts Possible medication interactions, especially if you take metformin, acid-reducing medications, or other long-term prescriptions Changes in neurological function, such as balance issues, confusion, memory changes, or worsening coordination Recognizing these warning signs early helps prevent complications and supports better long-term nerve health outcomes

If youre experiencing persistent fatigue, mental fog, or changes in hair, skin, or nail health, you may benefit from a Vitamin B12 injection

Im not quite getting it just yet