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The chain of mechanisms is plausibly benign and plausibly harmful, and current safety studies cannot distinguish

Each Vitamin B12 shot delivers far more B12 into the system than oral supplements, and avoid absorption difficulties

However, you should seek immediate medical attention if you experience signs of a serious reaction such as difficulty breathing, chest tightness, severe dizziness, rapid heartbeat, widespread rash, swelling of the face or throat, or severe injectionsite reactions like intense pain, significant swelling, or signs of infection (redness, warmth, pus, or fever)

Corresponding author: Larry Culpepper, MD, Department of Family Medicine, Boston University School of Medicine, Boston Medical Center, 1 Boston Medical Center Place, Dowling 5, Boston, MA 02118 ([email protected])