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Hydroxocobalamin injections are the UK first-line treatment, administered intramuscularly to ensure reliable B12 delivery independent of gut absorption

In most cases, side effects are brief and disappear within a couple of days

These are well tolerated by most people with little to no pain, apart from the sensation of a sharp scratch

Taking these B12 supplements when you arent deficient may cause side effects like: nausea vomiting headache diarrhea tiredness feeling weak tingling or numbness in your extremities If you notice any of these side effects, stop taking B12

This is the number most storage failures cluster around

[PubMed] [Google Scholar] 33.Szab S