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If you go to your primary care doctor, they will likely require a consultation and bloodwork to diagnose a deficiency before prescribing the shots

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However, doctors still advise taking it on an empty stomach

[1] If you experience persistent or concerning symptoms after starting B12 supplements, particularly skin changes or gastrointestinal issues, it is advisable to discuss these with your GP rather than assuming they are directly caused by vitamin excess

While the exact cause of these nodules can vary, a thorough understanding of the potential risks, early diagnosis, and appropriate management strategies are crucial for ensuring patient safety and satisfaction