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Signs Your B12 Levels May Be Dropping Again Recognising the early signs that your B12 levels may be declining can help you seek timely medical advice and potentially adjust your treatment schedule

In fact, people who have B12 deficiency are at higher risk of megaloblastic anemia, which essentially means the body does not have the ability to make enough red blood cells to carry oxygen through the body and leads to chronic fatigue

If supplementation is responsible, your doctor may recommend reducing or stopping non-essential B12 intake, with repeat testing after an appropriate interval (typically 2-3 months, or longer if you've had recent injections or have kidney disease)

But you might feel pain, redness, or swelling where you got the shot

Folate is another B vitamin that is important for the nervous system and in making blood cells