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Potential risks include unpredictable pharmacokinetic interactions, immunogenicity, injection site reactions, gastrointestinal adverse effects, and disruption of copper homeostasis

PMID 40544432

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We might change the dose if: Patients dont get better or keep having symptoms of deficiency They keep having trouble absorbing nutrients Their health changes or they get new health problems By watching both lab results and how patients feel, we can make Vitamin B12 shots work best for them

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