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Other signs may include shortness of breath, pale skin, stomach problems, such as constipation, diarrhea or gas, or nerve problems, like muscle weakness or tingling in fingers or toes. Over time, a deficiency of B12 can cause problems with balance, confusion, depression, poor memory and possibly dementia, and it can even cause permanent damage to the nervous system, Somers says

Always consult your health care provider before taking any supplements

Nascobal: Package Insert / Prescribing Info Package insert / product label Generic name: cyanocobalamin Dosage form: nasal spray Drug class: Vitamins Medically reviewed by Drugs.com