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While no studies have definitively linked them to irregularities, low potassium levels caused by the injections can lead to muscle cramping, fatigue, and an irregular heartbeat

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Some common causes of vitamin B12 deficiency include: Autoimmune pernicious anemia Dietary limitations, such as vegetarian or vegan diets Medical conditions that affect absorption, such as celiac and Crohns disease Identifying the specific cause of deficiency can help guide treatment and prevention strategies

Instead of saying "I think the last dose was okay," you can say "I had mild nausea for two days after each of my last four injections at 7.5mg, but appetite suppression is strong and weight is trending down 1.2 pounds per week." That level of detail leads to better clinical decisions