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Age, gastrointestinal disorders, and certain medications can also interfere with B12 absorption

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Those with pre-existing cardiac conditions or on medications affecting potassium levels may require closer monitoring

[8] Similarly, patients with gout or hyperuricemia should avoid high niacin intake, as niacin (even in nicotinamide form) can raise uric acid levels and potentially trigger gout flares

What is the recommended dosage per injection

Signs That Your B12 Injection Is Working As your B12 levels improve, look out for these positive changes: More energy You feel less exhausted and more alert during the day