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The NIH notes that vitamin B12 deficiency can cause fatigue, anemia, and neurological changes such as numbness or tingling, which is why visit context matters more than simply ordering a wellness shot online
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B12 injections for fatigue are most effective when fatigue is genuinely rooted in low B12
This implies that it is only to be used once and should be thrown away after opening, even if there is still water in the vial