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The medication's formulation is slightly alkaline compared to the skin's natural pH, which may cause transient irritation of subcutaneous tissues and nerve endings

The problem with this is that many sufferers of a B12 deficiency may not have anaemia or have a serum B12 blood level within an abnormally low range in accordance with the normal ranges set

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These can be signs of an early B12 deficiency or other nutritional deficiencies like folate, vitamin B2 (riboflavin), and vitamin B3 (niacin) deficiency

Technique adjustments may be needed as your body composition shifts over the course of treatment

You should have your vial of vitamin B12, a sterile syringe, two needles (one for drawing the vitamin and one for injecting), alcohol wipes, and clean gauze or a cotton ball