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It is used to relieve symptoms caused by excess stomach acid production

Use of certain medications that may interact with B12 or choline metabolism (e.g., metformin, proton pump inhibitors, or anticholinergic drugs)

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While no studies have definitively linked them to irregularities, low potassium levels caused by the injections can lead to muscle cramping, fatigue, and an irregular heartbeat

Researchers believe that this pain reduction occurs because that form of vitamin B12 strengthens nerve fibers, which are then not as susceptible to irritation by inflamed joints