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It presents with a broad clinical spectrum, ranging from asymptomatic or non-specific symptoms, such as fatigue or lightheadedness, to severe manifestations, including nausea, vomiting, alteration of consciousness, and even coma, which can be life-threatening 3,4

Worried about these feelings after starting B12 shots

Don't shake or get aggressive with it

What to Expect After Your First Injection The experience is quick, usually less than a minute, and side effects are rare

If your provider decides you are a fit, you can then jointly submit a Prior Authorization Request that will be submitted to CMS for review

"Structure-Activity Relationship for Small Molecule Inhibitors of Nicotinamide N-Methyltransferase." Journal of Medicinal Chemistry