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It is possible that a higher dose may be recommended for individuals who have been diagnosed with a vitamin B-12 deficiency

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But if particles persist after 5 minutes of gentle swirling, the vial may have been damaged by heat exposure, shaking, or age

I politely excused myself and found Lee in the hotel lounge

You are an older adult: Stomach acid production tends to decline with age, which can make it harder to absorb B12 from food and raises the risk of deficiency

The most common is injecting too quickly, which creates a pocket of medication that absorbs slowly and forms a temporary nodule
