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Patients with Lebers hereditary optic neuropathy should not receive B12 due to the risk of optic nerve damage

This is common with a knee joint injection

Yes, some patients experience temporary fatigue as their body adjusts to therapeutic B12 doses and metabolic processes reactivate

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Vitamin B12 Injections Boost Energy & Wellbeing | London & Truro Vitamin B12 is an essential nutrient that plays a key role in energy production, brain function, and overall wellbeing