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A prolonged, untreated deficiency can cause nerve damage that may become permanent

Special situations and common questions What not to do after a B12 injection if youre on blood thinners If you take warfarin, a direct oral anticoagulant, or other medications that reduce clotting, tell the clinician before the shot

Initial post-treatment discomfort is generally mild, similar to the feeling after a hard work out, and is easily controlled with oral medication, usually Tylenol, but a narcotic can be used if needed

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