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When levels are low, everyday tasks can feel more difficult, and symptoms such as fatigue, brain fog, mood changes, or weakness may appear

This keeps their B12 levels up

Signs of an injection-site infection or abscess include skin that is red, warm and increasingly painful, discharge, or a fever

Since B12 is found primarily in animal products, including meat, fish, dairy, and eggs, a substantial reduction in food intake can reduce B12 consumption below optimal levels, particularly for patients who were already borderline deficient before starting treatment or whose diets lean toward plant-based foods

Methylcobalamin tends to be dosed at the same intervals as cyanocobalamin but may allow some patients to stretch the time between injections once their tissue stores stabilize