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A b12 injection is often necessary for those with issues absorbing the nutrient or who follow specific diets

Physical Signs of Serious Deficiency One indication that there may not be enough B12 present in the body is if one begins to feel fatigue and dizziness, especially when dieting

These were prolonged QTc intervals [89], gastric lesions, and lower esophageal sphincter and pyloric sphincter dysfunction induced by dopamine receptor antagonists [68,92,165,172], as well as gastric lesions induced by combined application of dopamine receptor antagonist and reserpine [166]

The most common side effects are mild and transient: water retention, tingling or numbness (most often in the hands), and occasional fatigue or headache shortly after injection