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Other side effects that can occur include: Excessive sweat production Rapid weight gain Pain when breathing Shortness of breath when lying down Anxiety Increased or irregular heart rate Numbness, tingling or muscular weakness Increased thirst Urinary frequency B12 injections can also cause allergy symptoms immediately after administration, like difficulty breathing, a swollen throat, mouth, or swelling of the mouth, tongue or face

This bioenergetic failure is the physiological root of post-exertional malaise (PEM), where even minor physical or cognitive exertion leads to a disproportionate and prolonged exacerbation of symptoms

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Always use aseptic technique and inspect the solution for particulates as with any parenteral product