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The Two Phases of B12 Therapy: Loading and Maintenance Getting your B12 levels back on track with injections isn't a one-and-done deal

Seek medical advice if you experience: New-onset insomnia or significant sleep disruption that persists after starting B12 supplementation Paradoxical fatigue : Worsening tiredness despite taking B12, which may indicate an underlying condition requiring investigation Neurological symptoms : Tingling, numbness, balance problems, or cognitive changes, which could suggest B12 deficiency or other neurological conditions Mood changes : Anxiety, agitation, or depression that develops or worsens after starting supplementation Palpitations or rapid heartbeat : Though rare, some individuals report cardiovascular symptoms that should be evaluated It's important to note that sleep disturbances may be unrelated to B12 supplementation

Various physiological & pathological states, such as wound healing or regeneration after damage can be connected with these processes

This is particularly relevant because so many injuries (chronic Achilles tendinopathy, rotator cuff tears) occur in areas with inherently limited blood flow