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If you experience persistent joint pain, significant edema, or blood glucose changes, contact your provider

Parenteral thiamine can in rare instances trigger an acute allergic response characterized by hypotension, breathlessness, itching, and swelling

Could older adults with impaired absorption respond differently

People with low B12 levels often report: Excessive daytime sleepiness Fatigue despite adequate sleep duration Various neurological symptoms that may indirectly affect sleep quality Correcting B12 deficiency typically improves these symptoms over several weeks to months, as the body's stores are replenished and metabolic function normalises