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In UK practice, monitoring is primarily based on clinical response rather than routine blood tests
A: While generally considered safe, some people may experience mild side effects such as injection site soreness or temporary digestive upset
Oral Sprays: A quick spray inside your cheek works in a similar way to sublingual drops, using the blood supply in the mouth for fast absorption
A single unusual case report did describe a life-threatening eosinophilic pneumopericardium effusion (a type of fluid accumulation around the lungs and heart with high eosinophil counts) in an elderly woman who had been concurrently taking high-dose pantothenic acid (vitamin B5 at 300 mg/day) and biotin (10 mg/day) for two months
Disorders relating to B12 malabsorption are usually treated by repeat injections or oral supplementation
2,97 Human milk naturally contains B12, and levels correlate with maternal intake and B12 status
