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According to The New York Times in 2011, as many as 30 percent of older adults may lack sufficient B12

A distinct metallic taste in the mouth

The choice of Vitamin B12 formulation can significantly impact treatment outcomes in patients with deficiency. Source: Reputable Medical Journal Healthcare providers should think about each patients unique situation when picking a Vitamin B12 injection

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The most common side effect of B12 injections is irritation at the injection site, and injections are typically administered intramuscularly or subcutaneously. Less common side effects may include headache, nausea, diarrhea, itching, or a brief feeling of lightheadedness after the injection

A low acid content can also cause poor vitamin absorption