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As a result, the vaccine will trigger the immune system, causing sickness symptoms, including soreness, chills, fever, and fatigue

Vitamin B12 can also be supplemented with pills and sprays, as an alternative to injections

Expiration dates protect medication quality, so dispose of expired or unused pens and vials through a pharmacist or approved take-back program instead of using them beyond the labeled date

This resulted in high titers of binding and neutralizing antibodies that were maintained for up to 32 weeks following immunization

Most patients begin with weekly injections, though some particularly those with significant deficiencies may benefit from two to three injections per week initially