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Requirements of vitamin B12 in excess of normal (due to pregnancy, thyrotoxicosis, hemolytic anemia, hemorrhage, malignancy, hepatic and renal disease) can usually be met with oral supplementation

Headaches have been reported occasionally and may be associated with changes in vitamin B levels or mild vascular reactions after the injection

7 Clinical note: These mechanisms are derived from preclinical models

4 Does the injection hurt

High vitamin B12 levels may also be present in people with conditions such as liver disease and certain cancers

Due to its reliable results, this brand is widely used in hospitals and clinics