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However, the dysregulation in the pathways that regulate B12 metabolism may influence the serum level of vitamin B12, and the dysregulation of the metabolism of this vitamin may be the driver of higher levels of vitamin B12 in the circulation

These can include: Pain or soreness at the injection site Gastrointestinal issues such as diarrhea and constipation Dry mouth Fatigue Sleep disturbances (difficulty falling asleep) Feelings of anxiety Increased heart rate Where To Get MIC Injections MIC injections are available through healthcare providers and specialized clinics

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The clinical significance arises when B12 is elevated without a clear exogenous explanation

A serum cobalamin level is sometimes requested approximately 1 month after the initial injectable dose and dosing may be adjusted if levels are still low