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Could it be related to the vaccine

Long-Term Effects and Maintenance For those with chronic conditions or absorption issues, regular B12 injections are often prescribed as a long-term treatment

It has been shown that the observed use of vitamin B12 in general practice in England and Wales greatly exceeds its expected use and that it is widely prescribed by general practitioners for non-specific indications
Others note temporary tiredness during the initial adjustment period
While medication one day past the BUD may still be effective, you have no way to verify this without laboratory testing

Dosage varies based on the condition being treated and patient needs
