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More serious side effects are rare but can include muscle cramps, irregular heartbeat, and dizziness

Chronic heavy alcohol consumption can impair B12 status through poor dietary intake and malabsorption, though occasional alcohol is unlikely to significantly affect supplement absorption

VITAMIN B12 3000 - cyanocobalamin injection Sparhawk Laboratories, Inc

Dose individualized by your APRN provider

Setting realistic expectations : Discuss with your healthcare provider what outcomes are achievable

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