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A 2012 case study published in the New England Journal of Medicine describes a 62-year-old man who came into hospital with suspected pernicious anemia and was found to have low levels of vitamin B12

However, this poses a problem: while some people consume insufficient amounts of Vitamin B12 to meet their needs, others are unable to absorb enough, regardless of their intake

Fatigue sometimes increases during the medication transition

London and New York: Routledge Taylor and Francis

To alleviate arm pain after vaccination, its recommended to use cold compresses, move the arm frequently, take over-the-counter pain medication if approved by a healthcare provider, and engage in gentle exercise