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Very rare but more serious side effects include irregular heartbeats/ palpitations or in extremely rare cases can cause an allergic reaction (anaphylaxis) but I have an EpiPen at hand to treat you immediately should this extremely rare occurrence happen.
Waiting for diagnosis carries a high risk, while injecting B12 carries no risk
Prioritize protein intake above all other dietary considerations
Some patients feel as though they want more frequent injections, and occasionally we test levels to see if they are receiving adequate replacement, but Im not sure how strong the evidence is to support this. GPs should consider periodic vitamin B12 testing of higher-risk patients who take metformin, even if they dont display symptoms of deficiency, the UK medicines regulator said earlier this year
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