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Similar symptoms can come from active inflammation, IBS overlap, infection, bile acid diarrhoea, small intestinal bacterial overgrowth, food intolerance, medication effects or other causes

If you (or your older relative) has difficulty taking medications regularly, scheduled vitamin B12 shots are often the better option

If you are experiencing side effects like muscle pain , fatigue , or anxiety , your reconstitution might not be the cause, but verifying your concentration and dose accuracy should be one of the first troubleshooting steps