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The most important thing is to be well-acclimatized to the altitude and maintain a steady pace

If your B12 is low without any explanationyou eat foods with vitamin B12 or you havent been diagnosed with a condition that causes low B12then it would be worth investigating further with your healthcare provider. Can high B12 levels be a warning sign

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I had by covid booster in that arm about a week before so maybe that is why it's hurting so much thanks that's made me feel a bit better Its quite possible the nurse injected too high on the shoulder
