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If you ever feel worse after a B12 injection, the cause is most likely not the B12 itself, but some troublesome excipient

rare complications include allergic reactions and hypokalaemia during treatment of severe anaemia

Pernicious Anaemia is Lifelong: If your deficiency is due to pernicious anaemia (lack of intrinsic factor), B12 injections will be lifelong, as the underlying absorption problem is permanent

And tirzepatide GI effects can cause fluid loss

When you discuss your symptoms with your doctor, you only can make one first impression

Men and women 60 years or older have average dietary intakes of 5.6 g/day and 3.7 g/day, respectively (126)