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Many patients have undiagnosed low b12 even before medication use, particularly among certain risk groups

Fatigue and Headaches : A few individuals report feeling tired or experiencing headaches after receiving the injections, although these symptoms are typically transient

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For instance, a patient with borderline low B-vitamin levels might receive 0.5 mL IM weekly, whereas someone with severe malabsorption could receive 1-2 mL IM two to three times per week initially

Methods The data of this study were from a subcohort within the US National Health and Nutrition Examination Survey (NHANES)

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