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Avoid evening administration, as the increased energy levels may interfere with sleep in sensitive individuals

Some of the most common symptoms include exhaustion and extreme fatigue, as well as brain fog or issues with memory

Joint pain developing after starting B12 may reflect: Pre-existing musculoskeletal conditions becoming more noticeable Concurrent inflammatory or degenerative joint disease Reactions to excipients in certain formulations The natural course of an underlying condition If you experience persistent or worsening joint symptoms after beginning B12 supplementation, it is advisable to consult your GP or healthcare provider

McKinney, MD, primary physician at Healthy Outlook

Medications given by IM include antibiotics (penicillin, streptomycin), flu and COVID vaccines, testosterone and medroxyprogesterone (Depo-Provera) and immunoglobins such as immune globulin intramuscular (IMIG) given to help prevent hepatitis A, measles or chickenpox if you have been exposed