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Anything more than that, and you need to speak up

Its recommended to seek medical advice if experiencing the following or if these issues persist or worsen: Mild diarrhea Redness and pain at the injection site Swelling sensation in the body Temporary itching of the skin There may also be a risk of: Anaphylaxis (body goes into shock) Congestive heart failure Peripheral vascular thrombosis (involves blood clots) Polycythemia vera (a type of blood cancer) Pulmonary edema (too much fluid in the lungs) If you begin experiencing difficulty breathing, swelling, and hives, patients must seek emergency medical help

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Vegetarians, vegans, the elderly, individuals who regularly consume alcohol, and people suffering from Crohns disease or celiac disease are at a higher risk of developing a vitamin B12 deficiency

This is even more important if you have B12 deficiency and need significantly higher doses