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We recommend future research directions to determine when to start with SL, IM, or oral vitamin B12 in different situations

And it concludes with diligent observation

However, some may experience mild side effects such as pain or redness at the injection site, headache, or nausea

The b12 injection benefits for females tend to be particularly pronounced because women are statistically more likely to present with B12 insufficiency, especially those who are pregnant, postpartum, perimenopausal, or following a plant-based diet