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These extremely rare side effects include: Reactive thrombocytosis during the first week of use in megaloblastic anaemia Hypersensitivity reactions including: rash, itching, exanthema, antibodies to HYDR0XOCOBALAMIN-transcobalamin II Anaphylaxis Hypokalaemia Headache, paraesthesia, tremor Irregular heartbeat (arrhythmias secondary to hypokalaemia) Nausea Vomiting Diarrhoea Fever, chills, hot flushes, dizziness, malaise, pain and / or swelling at the injection site Acne Abnormal colouration of the urine (chromaturia) What should you not do after a B12 shot

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Factors Influencing the Effectiveness of Vitamin B12 Shots Several factors can influence how quickly and effectively a Vitamin B12 shot works: Severity of Deficiency : Individuals with severe Vitamin B12 deficiency may experience a more noticeable and rapid improvement in symptoms compared to those with mild deficiency

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