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A mild stinging sensation is common with this compound because of its quinolinium chemistry

Some of these problems can also occur if you have a deficiency in vitamin B12 or folate, but do not have anaemia. There are many journals on this 2012 Misdiagnosed vitamin B12 deficiency a challenge to be confronted by use of modern screening markers (.but its absence does not rule out B12 deficiency and it is not a specific marker as using it solely would miss 84 percent cases

Sublingual absorption rates and bioavailability differ from subcutaneous injection, meaning doses may need adjustment

van Dijk, Jooske IJzer, Els M

Before your first injection Get baseline bloodwork done