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While mechanistically similar to tennis elbow, the different anatomy requires adjustments to injection technique and expectations around recovery timelines

If pepsin formation is compromised, the ability of protein bound vitamin B12 to be freed for additional preparations for absorption will be compromised.2-7 In addition, the increase gastric pH also contributes to a greater degree of bacterial colonization and replication within the gastrointestinal tract, thus potentially leading to bacterial overgrowth.2 If bacterial overgrowth also occurs then additional vitamin B12 that was originally ingested for absorption will be utilized by the enteric bacteria thereby reducing the final amount of vitamin B12 available for absorption in the terminal ileum of the small intestine

Coexisting illnesses that get worse

It might alarm you if you expected a light pink, but this is within normal range for formulations with 1.0 mg/mL or higher B12 content

Common symptoms include: Chronic fatigue Dizziness or light-headedness Pale or yellowing skin Shortness of breath Mood swings, anxiety, or depression Tingling in hands and feet Brain fog or memory difficulties When these symptoms occur alongside hair loss, a B12 test is highly recommended