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If your B12 deficiency is not severe, it might take a couple of shots over a few days or weeks before you start experiencing these positive changes in your well being

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Adverse reactions following intramuscular (IM) injection have included anxiety, mild transient diarrhea, ataxia, nervousness, pruritus, transitory exanthema, and a feeling of swelling of the entire body

If you experience unusual fatigue, persistent muscle soreness beyond 72 hours, or declining training performance over 2-3 weeks, reduce either training volume or one of the compound doses

An endoscopic examination indicated no signs of gastric or intestinal bleeding