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great and easy feel with energy Within 24 hours of my first shot I could already tell a difference in how I was feeling

Vitamin B12 Deficiency: A Rare Cause of Excessive Daytime Sleepiness

A lowish but witin-range result after treatment would indicate that you do have a severe B12 deficiency

Formulation alternatives may provide relief: Different tablet formulations with alternative inactive ingredients may be better tolerated Liquid preparations can be easier to tolerate and allow flexible dosing Intramuscular injections completely avoid the gastrointestinal tract and are particularly useful for those with absorption issues (such as pernicious anaemia or malabsorption) or persistent oral intolerance Review inactive ingredients: Examine the supplement label for potential irritants or allergens