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Next, the area will be cleaned with alcohol prep and then numbed with an ethyl alcohol spray which feels cold and tingly

According to the literature I read a while back, (cant find a reference again) there is no direct interaction between alcohol and B12

I have a rash on my vaccinated arm (Moderna) which started after 6-7 days of being vaccinated (first vaccine) and actually is now bigger and redder

Your doctor also will review your medical history for medical illnesses (diabetes, immune disorders) or surgeries, such as stomach removal, that can lead to B 12 deficiency

Switching to a compounded vial with manual reconstitution requires you to handle the mixing and measuring yourself