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But some people have trouble absorbing vitamin B12 from food

However, in patients with pernicious anaemia or malabsorption, these stores cannot be replenished through diet, making regular injections essential

Injection site redness (mild, transient) Minor swelling at injection area Occasional headache Mild nausea (typically resolves) Fatigue during initial days Sleep changes (some report disturbance, others improvement) Increased appetite Vivid dreams Temporary digestive changes Sleep effects vary considerably among users

the product was withdrawn from the US market in 2008 for commercial reasons, not safety findings

It has also been linked to low stomach acid and gastritis, each associated with decreased iron absorption and lower iron levels