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It's not unusual for the symptoms of B12 deficiency to get worse when treatment starts - part of the repair effect - and irritability / mood issues are know symptoms of B12 deficiency, so this may explain your reaction to the B12 shots

Hydroxocobalamin supplement can improve mental clarity, reduce fatigue and improve overall mood

The safety profile remained consistent across different dose levels, administration routes, and treatment durations

Since B12 injections go directly into the bloodstream, absorption is not an issue, which can be a game-changer for those with these digestive or absorption challenges

If clinically appropriate, treatment options may be discussed and fulfilled through licensed providers and pharmacies where permitted