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Special situations and common questions What not to do after a B12 injection if youre on blood thinners If you take warfarin, a direct oral anticoagulant, or other medications that reduce clotting, tell the clinician before the shot

The stability problem is one reason why people in the UK are much better off with German hydroxocobalamin

B12 shots are available in multiple forms, including cyanocobalamin , which is the synthetic version, and methylcobalamin , which is a naturally occurring form

When Youll Feel the Difference How quickly you notice a change depends on your individual B12 levels, but many people report feeling more energetic within a few hours to a couple of days