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Negative side effects may include a paradoxical decrease in energy levels (most likely due to detoxification from methylation) or slight pain at the injection site which diminishes over 5-10 days

Journal of Bone and Mineral Research

To increase the amount of vitamin B12 in your diet, eat more foods that contain it, such as: Beef, liver, and chicken Fish and shellfish such as trout, salmon, tuna, and clams Fortified breakfast cereal Low-fat milk, yogurt, and cheese Eggs Your doctor might recommend that you also take a vitamin B12 supplement

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