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Check for drug interactions - Some prescriptions, like proton pump inhibitors, can impact B12 absorption and may need to be changed

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At clinical doses under supervision, the most common side effects are mild nausea in the first week (typically resolves by day 7 to 10), injection site reactions (redness, minor swelling, localized soreness lasting 24 hours), and occasional transient fatigue or mild headache in the first few days

Improve Your Heart Health: Injections of vitamin B12 can successfully reduce homocysteine levels, which are linked to a higher risk of heart disease