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For the vitamin to work, your body needs to absorb it properly, and that process can be surprisingly complex

Signs you may need to reduce dose include persistent headaches, unusual fatigue, or injection site reactions that worsen over time

A healthcare provider can evaluate your symptoms and determine whether injections are appropriate

Hyperhomocysteinemia, or having extra homocysteine in the body, is common in those with kidney problems since their kidneys dont function as well

We do not run diagnostic blood tests, so we are not a substitute for medical investigation of a B12 deficiency

These effects are usually stronger at higher doses or when combined with alcohol or other sedating drugs