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Nausea Nausea is another rare but reported side effect
The standard NHS pattern is a loading phase (injections on alternate days for up to two weeks), then maintenance

Vitamin B12 shot may be prescribed to prevent or treat the following: Pernicious anemia (a condition in which there are low red blood cell counts due to an abnormality in B12 absorption by the intestines) Megaloblastic anemia (a type of anemia in which there are very large red blood cells called megaloblasts) Cognitive disorders, such as dementia (a disorder characterized by problems with memory, problem-solving abilities, language, etc.) Disorders that affect B12 absorption, such as pancreatic diseases, intestinal infections, Crohns disease, and tropical sprue Cardiovascular disease risk (by lowering blood homocysteine levels, which is a compound associated with an increased risk of heart problems) Multiple sclerosis symptoms Bells palsy recovery B12 deficiencies related to: Weight loss Vegan or restrictive diets Surgery to remove the part of the stomach or the ileum (the last part of the small intestine) Energy and endurance What are signs of vitamin B12 deficiency

Cyanocobalamin is for individuals who have a diagnosed vitamin B12 deficiency or are at high risk of developing one
Some of these include: Vegetarian or vegan lifestyle Anemia Older age Chronic fatigue Medical conditions AHC evaluates your symptoms to determine if additional B12 is something that will benefit your overall health