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If you dont supplement, an elevated B12 can be a marker for underlying conditions including liver disease, kidney dysfunction, or certain blood disorders

Also, rare redness, minor pain, and a headache may accompany the treatment

Inject Air into the Vial : Technique : Insert the needle into the rubber stopper of the vial and inject the air into the vial

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They can help determine if this treatment is appropriate for your individual needs and guide you on the safest and most effective way to proceed.

If something serious is happening structurally, a GI specialist is exactly who you need