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I keep my B12 at room temperature and warm it a little by rubbing the ampule between my palms

This won't be the dramatic variable for everyone

No less the exemption of the Covid vaccine manufactures from any liability for adverse effects

2010;59(Pt 2):1413

Common side effects Injection-site reactions: mild redness, tenderness, swelling, occasional bruising - usually resolve within hours Skin flushing / warmth - brief, related to vasodilation Transient fatigue in the first 12 weeks of intensive protocols Mild headache - usually dose-related Higher-dose theoretical concerns Copper accumulation - each 2 mg injection adds roughly 0.03 mg of elemental copper, trivial next to the 0.92.2 mg from a normal diet