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People with heart failure In rare cases, extra fluid and red blood cell mass from shots may worsen heart conditions

1,2,6,12 Dementia-like disease, including episodes of psychosis, is thought to be associated with more severe and chronic deficiency, although supporting evidence is poor

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At starting doses, the smaller vials are often more cost-effective because you use the entire contents before the 28-day after-puncture expiration

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If your true blood BAC is modestly elevated due to dehydration (per the mechanism above), a breathalyzer would reflect that same modest elevation but dehydration itself is not a separate, additional source of breath-test error on top of that