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If you notice any of the following, you may be deficient in vitamin B12: Pale or jaundiced skin Weakness and fatigue Nerve damage that feels like pins and needles Changes in balance, coordination and the way you walk A swollen tongue and mouth sores Shortness of breath and dizziness Blurred vision Brain disorder like depression and dementia High body temperature Signs That a B12 Injection Could Be Right for You There are many people who can improve their health and well-being with vitamin B12 injections, especially under the following circumstances