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For example, low iron levels may cause fatigue or shortness of breath while low vitamin D levels may cause bone pain or mood changes

However, individuals can take steps to maximize the effectiveness of B12 injections, including maintaining a balanced diet, staying hydrated, addressing underlying health conditions, following healthcare provider recommendations, and adopting a healthy lifestyle

Medications know to cause bone marrow suppression (e.g., myelosuppressive antineoplastic agents) may result in a blunted or impeded response to methylcobalamin, vitamin B12 therapy