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The tongue may appear smooth and shiny due to loss of papillaea characteristic sign that clinicians look for during examination

Supports methylation: Low B12 can raise homocysteine levels, linked to miscarriages and poor pregnancy outcomes

Vitamin B12 is primarily found in animal-based products such as meat, fish, eggs, and dairy

Possible Side Effects Mild side effects of Vitamin B12 may include: ( 12 ) Mild pain, itching, or swelling at the injection site Temporary nausea or headache Mild diarrhea Hot flashes Vomiting These side effects do not affect all patients and are generally temporary and mild While rare, more serious side effects of Vitamin B12 injections can include ( 12 ): Irregular heartbeat Heart palpitations Hives or skin rash If you notice any severe reactions to a Vitamin B12 shot, contact a medical professional immediately

N-acetylcysteine (NAC) : A precursor to glutathione, NAC can enhance levels when taken alongside IV therapy

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