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Strenuous exercise can increase blood flow to the area and might exacerbate any tenderness or swelling at the injection site

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They may also give you dietary advice so you can increase your folate intake

I do think a drip of B12 straight into a vein continuously woukd benefit and eliminate alot of the rollercoaster of symptoms Any treatment can give side effects/ symptoms

Less common B12 shot side effects include : Chest tightness Skin rash or hives Dizziness Difficulty breathing A blue tint to the skin Call your doc ASAP if you notice any of these negative effects

Our suite of services includes B-12 injections tailored to your unique needs