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According to StatPearls (NCBI Bookshelf), the most common adverse effect of intramuscular vitamin B12 injections is significant pain at the injection site, which is particularly noted in thinner individuals

This is because a lack of vitamin B12 can cause anemia, which can lead to shortness of breath

The most abundant genus was Ileibacterium , a relatively novel genus of the Firmicutes phylum 48

For instance, vitamin B12 helps with energy production, which might make it easier for someone to exercise, while lipotropics may support fat metabolism

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Dosage accuracy and waste documentation are especially critical because the financial stakes per claim are large