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B-Complex causes a stinging sensation while being injected comparable to a mild bee sting

Increased risk of cardiovascular diseases Since cardiovascular disease is a leading cause of death in women, monitoring B12 levels is essential, particularly for women with a family history of heart disease or other risk factors like obesity and hypertension

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[104] [105] Deficiency does not develop if dietary intake of vitamin B 12 is adequate or prophylactic B 12 supplementation is given

Medication Use Certain medications, such as proton pump inhibitors (PPIs) for acid reflux or metformin for diabetes, can interfere with B12 absorption

Cloudy or particulate solutions should not be used