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B12 injections offer a more direct and reliable solution

Common side effects may include: Dizziness Pain, swelling, or itching at the injection site Diarrhea Nausea Skin rash or acne-like skin Unwell or feeling of weakness Serious side effects may include: Difficulty breathing Swelling of the face, lips, or tongue Irregular heartbeats or palpitations Swelling or pain in the limbs due to blood clots Severe dizziness or weakness This list does not cover all potential side effects, and others may occur

When 5mg is not working and dose adjustment considerations Sometimes 5mg is not enough

Use only as prescribed

doi:10.1016/j.soard.2013.04.017