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They do not mean you are failing or somehow broken

Many people seem to experience symptoms like those you mention - where it has been mentioned in posts my memory is that the individuals concerned report the sleepiness as something that continues as they move into maintenance shots

Uses Of NASO B12 NASAL SPRAY As a maintenance therapy in adult patients with pernicious anaemia who are in remission status (following intramuscular vitamin B12 therapy) without the involvement of the nervous system Manage adult patients with vitamin B12 deficiency that occurred due to dietary, drug-induced, and/or malabsorption factors Prevents vitamin B12 deficiency in adult patients with vitamin B12 requirements How NASO B12 NASAL SPRAY Works NASO B12 NASAL SPRAY works by increasing and restoring vitamin B12 levels in the blood thus promoting blood cell production and managing the deficiency of vitamin B12 and the occurrence of pernicious anaemia in affected individuals