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These symptoms most often include: Paresthesia: Numbness, itching, burning, or tingling in the limbs or other parts of the body Ataxia: impaired coordination, balance, and speech Myelopathy: pain in the neck or back and tingling, numbness, or weakness in the limbs The occurrence of these conditions in people with vitamin B12 deficiency is due to the role of vitamin B12 in preventing nerve damage and ensuring efficient transmission of nerve impulses

If your B12 is elevated and youre not supplementing, see your doctor

This could theoretically affect DNA methylation, gene expression, and other processes dependent on methylation

[1] For licensed B12 medicines, detailed information about side effects can be found in the product's Summary of Product Characteristics (SmPC)