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If you are still experiencing pain a week after your injection, it may be a sign that the pain is coming from somewhere else, and you need a further diagnosis

For most patients with vitamin B12 deficiency, high-dose oral supplements are as effective as intramuscular injections at raising serum B12 levels and resolving symptoms

However, due to the lack of data on subcutaneous administration, researchers are advised to begin with shorter studies, spanning no longer than a month

the provider may adjust the dose based on the patients energy levels, symptom improvements, or any side effects

According to Digestive System and Nutrient Needs of Meat Goats by Purdue Extension, Sulfur produces thiamine-like compounds called analogs that decrease the absorption of thiamine in the rumen. There are many possible sources of excessive sulfur, including: water sources, alfalfa*, brassicas, distillers grains, molasses, and corn, sugar beet, and sugar cane byproducts