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Some factors that influence how long the shot lasts include: Lifestyle and stress levels Diet and alcohol consumption Existing health conditions (e.g., pernicious anemia, digestive disorders) How quickly your body uses or excretes B12 If your energy starts fading or symptoms return before your next scheduled shot, let your provider know

4 Unlike bioavailable forms of B12 like methylcobalamin, cyanocobalamin occurs only in trace amounts in the body, usually from cigarette smoking or other sources of cyanide

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