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Its is a water soluble vitamin, so once your body takes in a certain amount, the rest is discarded through urine

These symptoms can sometimes discourage patients from continuing their treatment

If you have a vitamin B12 deficiencyperhaps due to conditions like pernicious anemia, certain digestive disorders, or a strict vegan dietyou may experience symptoms such as fatigue, weakness, and low energy

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If blood tests show clearly low levels (thresholds vary by lab, but often below roughly 200 pg/mL) or there are signs of anemia, a provider may recommend weekly injections for the first several weeks as a correction or "rescue" phase

Imaging confirmation: Procedure note states fluoroscopy or CT guidance was used