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Additionally, even people who eat adequate B12-containing foods can sometimes have reduced ability to absorb the vitamin through the gut

One night, about a week after the shot, I woke up with palpitations and a few seconds of chest pain

In these cases, supplements or B12 injections may help make up for the lack of B12 in your diet
What Happens During a B12 Injection Appointment Blood tests are generally needed to confirm B12 deficiency before starting injections, since guessing at a deficiency without lab work risks over-treating a problem that isnt actually present
