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Many people report feeling more energized and alert within a few hours or days after receiving a B12 injection

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Malabsorption disorders and IBD : Crohns, celiac, and other gastrointestinal disorders can cause damage to the intestinal lining, preventing the body from absorbing B12 and other nutrients effectively

Also, it is important to mention that modified Widman flap was often misunderstood in some clinical studies, mostly performed with the principles of Kirkland flap by excessively removing all the interdental tissues, with an idea of curettage

Long-term or repeated use may increase the risk of bone fractures, vitamin B12 deficiency, or gut infections

usually mild-to-moderate and easing with time [2] [4]