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You have a confirmed, symptomatic deficiency: When a deficiency is significant and affecting daily life, a provider may recommend injections as part of the treatment plan

Others might experience systemic effects, such as: Headache Fatigue Nausea Diarrhoea Dizziness Symptoms such as itching or a rash might also develop, indicative of a mild allergic response

See Reconstitution, Daily Units, and Cycle Structure

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"Oral vitamin B12 versus intramuscular vitamin B12 for vitamin B12 deficiency: a systematic review of randomized controlled trials"