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Special caution is advised for individuals who have altered vitamin B12 absorption due to certain medical conditions or medications, or who are individually sensitive to higher doses

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For instance, an individual with significant metabolic challenges might show more pronounced shifts than one already operating at peak metabolic efficiency

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Unless you have a health condition that prevents you from taking certain OTC pain relievers, such as a bleeding condition or liver or kidney problems, you may find relief from arm soreness as well as certain other vaccine side effects such as headache or fatigue