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New England Journal of Medicine , 362(25), 2389-2398

These withdrawal symptoms can be attributed to tolerance or interdose withdrawal

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And then repeat the one dose every 3-4 months as required Aftercare No strenuous exercise or alcohol for 24 hours Increase water intake after treatment for optimum results Report any unexpected side effects immediately Results As long as it is a true deficiency, most clients will require a loading dose of 4 injections over 4 weeks and then 1 dose every 3-4 months as required to feel the full benefit of this treatment Possible side effects Mild soreness, bleeding, bruising or swelling at injection site Vitamin B12 injections are a safe and effective way to replenish your B12 levels by injecting a concentrated dose directly into your muscle, ensuring it gets to where it needs to be quickly and efficiently