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The precursor to both of these is hydroxocobalamin

Fix: Always include the 11-digit NDC number, drug name, strength, dosage, and route on every J3490 claim

B12 deficiency often goes hand in hand with a folate deficiency, says Kozlowski

Common signs include: Burning or shooting nerve pain in your feet Tingling sensations that may worsen at night Numbness that typically starts in the toes and spreads upward Increased sensitivity to touch or temperature Muscle weakness affecting balance and coordination Loss of reflexes in the feet and ankles Difficulty sensing foot position, increasing fall risk Symptoms often manifest gradually and may be mild at first