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Mutations in the transcobalamin gene can cause a deficiency

Form Lyophilized vial (long-term) Temperature -4 F (-20 C) or colder Note Best for long storage

Common experiences after the first injection include: Mild soreness or redness at the injection site (usually resolves within 12 days) Slight improvement in energy levels or mood No immediate noticeable change (particularly common if deficiency is severe) Rarely, mild side effects such as headache or dizziness Some patients report their urine becoming brighter or more intensely coloured following injection, which occurs because excess B12 is excreted renally

Its always a good idea to ask about these upfront

The therapy rapidly restores B12 levels, often showing improvements in energy and cognitive function within 48 hours