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Despite its importance, many people are deficient in B12 due to dietary restrictions, absorption issues, or other health conditions

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Some common side effects include: Mild nausea Stinging Swelling Burning Some serious side effects may include: Dizziness Drowsiness Slow/shallow breathing Mental/mood changes (such as confusion/nervousness) Shaking Seizures Vision changes (double vision/blurred vision) Ringing in the ears Fainting Pale/bluish/grey skin Fast/slow/irregular heartbeat Although allergic reaction is rare, get immediate medical attention if you have any of the following: Rash Itching Swelling of the face, tongue, or throat Severe dizziness Trouble breathing Storage Store lidocaine HCl injections at controlled room temperature

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In fact its thought that up to 90% of people following these diets have a deficiency due to b12 being present naturally, only in animal foods

If the reaction is limited and improving within a couple of days, continued observation is reasonable