Because folate deficiency can cause a similar type of anemia (megaloblastic anemia, which means a low red blood cell count with overly-large cells), doctors often test the blood for both folate and vitamin B12
Gamma Knife radiosurgery and percutaneous rhizotomy also provide excellent short-term relief (7090%), although durability is generally lower than with MVD
Most people get enough from diet, but older adults, vegans, and those with certain medical conditions may require supplementation
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Vitamin B 12 deficiency symptoms may include: strange sensations, numbness, or tingling in the hands, legs, or feet difficulty walking (staggering, balance problems) anemia a swollen, inflamed tongue difficulty thinking and reasoning (cognitive difficulties), or memory loss weakness fatigue While an experienced physician may notice the symptoms and be able to detect a vitamin B 12 deficiency with a good interview and physical exam, a blood test is needed to confirm the condition
