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Cardiovascular side effects, while less common, may include changes in heart rate, with some patients experiencing a mild increase in resting heart rate of two to three beats per minute on average

Many patients start with weekly injections, which can be adjusted over time

It is particularly common in individuals with certain risk factors, including those who have undergone gastric or small intestine resections, have inflammatory bowel disease, use metformin or proton pump inhibitors, follow a vegan diet, or are older than 75 years

Whether you're new to vitamin injections or continuing an existing routine, our providers take a conservative, evidence-informed approach and explain every step no pressure, just honest guidance and provider-led care

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