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Some patients get paradoxical fatigue or headaches from B12 due to detoxification effects, in which case lower your dose
10.3945/jn.110.123273 [DOI] [PMC free article] [PubMed] [Google Scholar] 131.Dirscherl K, Karlstetter M, Ebert S, Kraus D, Hlawatsch J, Walczak Y, et al

Collaborative efforts among researchers, clinicians, and pharmaceutical developers are essential to translate these scientific insights into effective and accessible treatments

This is controversial as infusion coding dictates to bill 96374 and 96361