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It has an excellent safety profile, which is why higher doses like 1000 mcg are common and well-tolerated
But the study says the practices remain controversial in terms of both efficacy and safety, pointing to several studies and reports about possible harms, such as abscesses
[PubMed] [Google Scholar] 14.World Health Organization Expert Committee on Physical Status
Integrating B12 Into Your Wellness Plan Vitamin B12 injections complement, not replace, a healthy lifestyle
Others describe a sense of general wellbeing or improved recovery from workouts
