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Severity of deficiency: if your levels were very low, it may take several doses to fully restore your tissues, or you may feel a dramatic early difference because your body was so depleted

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From the cardiovascular system: tachycardia, arrhythmia, bradycardia, transverse heart block, cardiac arrest, peripheral vasodilation, collapse, pain in the heart, increased or decreased blood pressure, slowed heart conduction

Eating B12-rich foods like meat, eggs, and dairy or taking supplements daily can also help raise levels over time