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Vitamin B12 supplements are generally considered safe when taken in appropriate dosages

The reusable pen and carry case are not included with the pre-mixed replacement cartridges, which come with three pen needle tips

Although less frequent, hypercobalaminemia in cats has been also recorded during chronic enteropathy, acute or chronic pancreatitis, cholangiohepatitis, gastric lymphoma, and hyperthyroidism [62]

At the 8mg level, this means accidentally taking 16mg, which would cause severe nausea and potentially dangerous gastrointestinal distress

the needles are on the larger size though Gave me some extra energy & lightened my mood a bit