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Differentiating from Other Conditions Neurological signs and symptoms can be vitamin B12 deficiency associated or due to other causes such as: Pernicious anemia Syphilis Neurosyphilis Human immunodeficiency virus (HIV)-associated vacuolar myelopathy Toxic neuropathies Tropical myeloneuropathy Your healthcare provider can make a proper diagnosis based on your symptoms, medical history, physical exam, and laboratory test findings

B12/MIC injections are fast-absorbing, generally well-tolerated, and can help you feel sharper and more energized

If your vitamin B12 levels are too high on the serum vitamin B12 test, your doctor may recommend further testing

The healing crisis and detox symptoms are not generally a sign you need a reduced dose