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Possible side effects include: Redness Itching Tingling Dryness Peeling Mild stinging Breakouts or small bumps Bruising or pain with injectable use Allergy-type reactions such as hives or swelling Stop using the product and seek medical care if you notice hives, swelling, trouble breathing, severe irritation, or symptoms that feel unusual for you

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The specific manufacturer of your dispensed medication may vary

The blind loop syndrome may produce deficiency of vitamin B 12 or folate

BMC Res Notes 16:279

Injections may be preferred when absorption is poor, symptoms are significant, or a clinician wants a more direct replacement route