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Kidney Use with Caution Patients with kidney disorders should use this injection with caution and under medical supervision, as dose adjustments may be required

In our practice, we offer injections and support to all patients with an identified B12 deficiency

Symptoms include: Fatigue and Lethargy Depression Irritability Headaches Difficulty with balance Decreased Cognitive Function Constipation Sore or Swollen Tongue Palpitations Mouth Ulcers Pins and Needles Changes to vision People With Gastrointestinal Issues If youre suffering from any gastrointestinal disorders, you may be at a higher risk of Vitamin B12 deficiency

do not shake vigorously, as this can cause aggregation or degradation