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Possible adverse reactions, considered rare and exceptional, include: Acne is reported as a relatively common symptom when very high doses are administered at once

Single arm phase II study of oral vitamin B12 for the treatment of musculoskeletal symptoms associated with aromatase inhibitors in women with early stage breast cancer

Practice Committee of the American Society for Reproductive Medicine

Doc, our comprehensive intravenous wellness team offers a B12 shot that, when injected directly into the muscle, restores your B12 levels and helps address some of the side effects of hangovers, including fatigue and decreased cognitive functioning

Vitamin injections boost energy by delivering essential nutrients directly into the bloodstream, combatting fatigue

So, it could be that an ultrasound scan would be needed to try and diagnose that problem