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Other issues, like atrophic gastritis (a thinning of the stomach lining), reduce the production of stomach acid, which is essential for releasing B12 from food

These secondary irritators can further aggravate the already sensitive nerve and amplify pain for example along the intercostal nerves after thoracic shingles, or in the face with trigeminal involvement

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But if your flu vaccine reaction results in prolonged pain, limited mobility, or severe complications, it may be more than just a routine side effect