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Nerve changes from a prolonged B12 deficiency can affect coordination and balance, leaving some people feeling unsteady, dizzy, or more prone to stumbling

If the total is significantly more or less, recalculate your concentration accordingly

However, certain medications can affect B12 absorption, including metformin (used for diabetes), proton pump inhibitors, H2-receptor antagonists, and colchicine

Shaking the Vial It is a natural instinct to shake a bottle to mix it, but tirzepatide is a fragile protein

Is it placebo