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Here are some signs that you should talk to a doctor sooner: Very bad pain that doesnt get better with pain medicine A lot of swelling, redness, or warmth around where you got the shot Fever, chills, or feeling very sick Trouble moving your arm A rash or itching all over your body Which Vaccines Cause the Most Pain

Approximately 4 out of every 5 patients will suffer at least one symptom of VB12 deficiency following gastrectomy [1], including fatigue, cold extremities, paraesthesia, or glossitis [3, 4]

Mild cases may improve within 6 to 8 weeks with proper supplementation

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The goal of preserving lean muscle mass becomes even more critical in this age group, since sarcopenia (age-related muscle loss) combined with rapid weight loss can significantly impact functional capacity