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The B12 deficiency itself getting worse, either because not enough unhealthy red blood cells have expired and been replaced by healthy ones (each one of them has a 90 day life-cycle), or because the B12 wasnt injected on a daily schedule

Corpas E., et al

"The reason why your arm specifically is sore is that your immune system is giving you a robust response to the flu vaccination," says Dr

The exact dose depends on your specific needs and what your doctor says