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The NIH notes that vitamin B12 deficiency can cause fatigue, anemia, and neurological changes such as numbness or tingling, which is why visit context matters more than simply ordering a wellness shot online

Did your daughter have any abnormal hematology results

It is also a good practice to use a new, sterile syringe for each use to avoid any potential contamination

Allergic reactions or injection-site irritation are rare but possible with any formulation

Feeling constantly tired and lethargic can indicate a lack of vitamin B12

If you have other complications you experience, be sure to communicate those to your plastic surgeon during your consultation