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It changes the concentration of every single dose you draw from that vial
This is because: Older adults make less stomach acid, which is needed for B12 absorption
The treatment typically causes a mild stinging sensation, and any post-treatment tenderness or swelling usually subsides within a few days
Some individuals may struggle to absorb B12 through diet alone especially those with certain dietary restrictions or medical conditions
However, if extremely high doses are given for a long time, pyridoxine can cause nerve damage leading to numbness or tingling in the hands and feet (peripheral neuropathy)
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