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Follow-up with specialists If sciatic nerve injury or muscle damage is suspected, a neurologist or physical therapist may be needed for further evaluation and treatment

Vitamin B12 shots may not be suitable for people with a history of: sensitivity to vitamin B12 Lebers disease, which affects the optic nerve kidney problems hypokalemia (low potassium levels) deficiencies in other nutrients, particularly folic acid and iron Vitamin B12 injections typically begin to work straight away

The underlying anemia can also cause paleness

Medical history: existing conditions and prior treatments shape whether a peptide is appropriate at all