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While the pink or red color is expected when B12 is present, appearance is not a reliable indicator of quality or content

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Palpitations Some patients report awareness of their heartbeat or irregular heart rhythms, particularly during the initial weeks of treatment or after dose escalation

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This ritualistic aspect improves adherence because the injection becomes embedded in a calming evening routine rather than feeling like an interruption to a busy morning

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The New England journal of medicine, 384(11), 9891002

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