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Youll need to take extra care to avoid an infection

Keep vials protected from light in their original carton

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Fill a couple of milliliters of air into the syringe

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Common symptoms can include: Extreme fatigue Lethargy Loss of appetite headaches Feeling faint or dizzy Breathlessness Headaches Heart palpitations Tinnitus Additional symptoms of B12 deficiency can include psychological problems such as low mood, irritability, depression, cognitive changes, or blurred memory