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Injection Site Reactions: Mild pain, redness, or swelling at the injection site may occur, but these symptoms typically resolve quickly

A vegetarian or vegan diet can see Vitamin B12 levels drop Long-term use of antibiotics, peptic ulcer treatments and some diabetes medication can reduce levels of B2, B9, and B12

Regular clinical assessment can determine whether B12 therapy remains appropriate rather than focusing solely on serum levels

Without enough B12, red blood cells can become large and irregular (megaloblastic anemia), which reduces their ability to carry oxygen efficiently

It has to be added on if needed

A prenatal vitamin should include B12, but since it is a key nutrient during pregnancy (contributing to fetal development, among other things), pregnant women who are vegan or have another reason to suspect a deficiency should talk to their doctor