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Description
Common side effects associated with the B-12 shot include soreness at the injection site, diarrhea, swelling and itching

Proton pump inhibitors and H2 blockers reduce acid production without addressing sphincter dysfunction or tissue damage

Traditional treatment approaches often fall short

Patient 4 flared when ibuprofen was added despite being on etanercept

Shoulder instability and labral tears are common shoulder issues, often resulting from trauma or overuse
For dietary B12 deficiency without malabsorption, oral cyanocobalamin may be an appropriate alternative to injections
