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Insufficiency can lead to fatigue and weight gain, and an injection of vitamin B12 can increase energy and help with gastrointestinal issues

For most patients, weekly or bi-weekly B12 injections provide the best results
However, a large amount of air can be dangerous, painful and a reason for B12 injections gone wrong. To remove air bubbles from a syringe, hold it upside down and flick its side several times until all air has risen to the top

Phase 4: Maintenance optimization (weeks 25 onward) This is where individual adjustment matters most

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If the medication must be removed from its original packaging, it should continue to be stored in the refrigerator, which also provides light protection
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