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There are many disease-causing pathogens, viruses and parasites that contaminate water when, for example, rainfall washes animal waste into lakes and streams, septic tanks leak or sanitary sewers overflow

Reconstitute with 2 mL bacteriostatic water

Potential Side Effects and Precautions Minimal Side Effects While B12 shots are generally well-tolerated, its essential to be aware of potential side effects

For example, an IM injection in the deltoid could hit the radial nerve or artery if placed too low

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For any of these individuals, I would definitely recommend getting a B12 blood test from a [primary care doctor] to check levels before adding a supplement, notes Gans