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A severe tendon tear, fracture, infection, nerve compression, progressive weakness, unexplained swelling, or rapidly worsening pain needs appropriate evaluation
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People with low B12 levels often report: Excessive daytime sleepiness Fatigue despite adequate sleep duration Various neurological symptoms that may indirectly affect sleep quality Correcting B12 deficiency typically improves these symptoms over several weeks to months, as the body's stores are replenished and metabolic function normalises