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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

They can determine from there whether or not you are absorbing the proper amounts of this nutrient

Brumsted J et al

Don't use it to force payment on a code that shouldn't be billed separately