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Even using this strategy some patients (minority) do have issues with sleep for the first 1-2 days after each injection

When your body lacks sufficient B12, you may experience symptoms like fatigue, weakness, numbness, or even anemia

This injection is typically prescribed to potentially prevent or treat deficiencies of these B vitamins and to support patients with conditions like malabsorption, increased metabolic demand, or recovery from illness where oral vitamin intake is insufficient

However, elevated MMA and homocysteine concentrations may persist in patients with cobalamin concentrations between 200 and 350 pg/mL