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Then theres the placebo effect

The heavy consumption of ethanol for greater than 2 weeks has been reported to reduce the absorption of Methylcobalamin, vitamin B12
Afterwards, they will prescribe the correct dosage, frequency, and duration of the medication and monitor your progress to ensure safety and effectiveness

These may include mild digestive changes (nausea, altered bowel movements), increased energy levels that may feel stimulating initially, mild headaches (often related to dehydration), and minor injection site reactions (redness, temporary discomfort)

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