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The provider needs to evaluate a condition beyond simply deciding to give the shot

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This is usually an indication that you have a methylation defect and need to slow down on the amount of B12 you are taking

When B12 runs low, symptoms tend to creep in slowly enough to get blamed on something else: persistent fatigue, brain fog, low mood, weight gain or difficulty losing weight, weakness, tingling in the hands or feet, shortness of breath, and a weakened immune system

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