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If you have trouble gripping the capsule in your fingers, a tablet cutter or straight razor can be helpful

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Red flags that need prompt medical assessment Any of the following should be assessed by a doctor rather than met with a supplement: Numbness, tingling or burning in the hands or feet Unsteadiness when walking, especially in the dark or with the eyes closed New problems with memory, thinking or personality Blurred, dim or altered central vision Any of the above in someone using nitrous oxide, which needs urgent assessment Severe breathlessness, chest pain or fainting Suspected B12 deficiency in pregnancy, in breastfeeding, or in an infant With neurological symptoms, the interval between noticing them and starting treatment is the part you can still influence