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Such complaints have been described in literature from 1900 onwards and may precede abnormal blood counts

Injection site redness (mild, transient) Minor swelling at injection area Occasional headache Mild nausea (typically resolves) Fatigue during initial days Sleep changes (some report disturbance, others improvement) Increased appetite Vivid dreams Temporary digestive changes Sleep effects vary considerably among users

But some people have trouble absorbing vitamin B12 from food

Alternatively, the diagnostic criteria used to identify inadequate B12 status have been based on a known relationship between the serum B12 biomarker and low body stores, functional impairment, or clinical signs of deficiency

Symptoms include dizziness, weakness, confusion, and irritability