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Pernicious Anemia: The Lifelong Commitment For anyone diagnosed with pernicious anemia , the question of "how often should I get B12 shots?" has a straightforward answer: for life

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Thats why these side effects are typically worse when you first start the medication or up your dosage

Systemic Reactions Including Fever Systemic reactions to high-dose vitamin B12 can include fever, fatigue, and feeling unwell

Overall though, its more about getting protein throughout the dayand less about exactly which foods provide it