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It is also where the difference between shots and pills becomes most noticeable

Your doctor may recommend taking a supplement with a variety of water-soluble vitamins, including B12, if you have kidney disease, especially if you have risk factors for becoming B12 deficient

What you can expect depends on how early the vitamin B12 deficiency is caught and how low your levels are

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Here are some general guidelines for managing common side effects: Pain or redness at the injection site: Try applying a cold compress to soothe the affected area