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Most individuals can benefit safely, but pregnant or breastfeeding women, people with known vitamin or nutrient sensitivities, or those with specific medical conditions should consult with a healthcare provider before receiving injections
While the majority of patients see complete healing within the first week, some may take up to two weeks for total resolution
If symptoms persist despite these measures, healthcare providers may consider slower dose titration schedules, temporary dose reductions, or prescribing anti-nausea medications for short-term relief
Methylmalonic acid, usually shortened to MMA, and homocysteine are substances the body clears using B12-dependent enzymes
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