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However, if you are just starting out, you may consider alternating days between injections to see how your body responds

Eberly LA, Yang L, Essien UR, Eneanya ND, Julien HM, Luo J, et al

The most common side effects are mild nausea, constipation, and diarrhea, especially during the first few weeks

Vitamin B12 Deficiency and Neuropathy: Symptoms, Science, and Next Steps ND Nerve Disc Institute January 15, 2026 Many people living with tingling feet or numb fingers assume they have normal aging or a back problem