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If you experience severe pain, fever, or blistering at the injection site that doesn't resolve after 1-2 days, it is important to contact your healthcare provider immediately

Without enough B12, these cells can become large and misshapen (megaloblastic anaemia), reducing oxygen flow to your brain and muscles, causing fatigue and weakness

Drug-induced malabsorption: Long-term medications like metformin or proton-pump inhibitors can reduce B12 absorption

Lindemans, J

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Physician supervision is what changes the outcome