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Another possible cause of elevated vitamin B12 levels is a blood disorder ( QJM , June 2013)

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Possible B12 injection side effects tend to be mild and short-lived, and may include: Injection site pain, redness, or swelling Mild itching Brief diarrhea (less common) A feeling of warmth after the injection Serious side effects are rare

however, nerve bundles testing positive for nitric oxide synthase (NOS), which is autonomic in origin, have been demonstrated in the human by Burnett et al
It doesnt numb anything it addresses why the pain is still happening
