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if neurological involvement is present, maintenance is every two months Oral therapy is generally not appropriate where absorption is impaired (e.g., pernicious anaemia), as adequate levels cannot be reliably achieved Because B12 is water-soluble and any excess beyond hepatic storage capacity is excreted in the urine, it has a low toxicity profile

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However, more research isa needed on the efficacy of vitamin B12 shots for this condition

Potential signs of an allergic reaction may include: rash/hives, itching, red or swollen skin, blistered or peeling skin (with or without fever), wheezing and tightness of chest or throat, trouble breathing, swallowing or talking, swelling of the mouth, face, lips, tongue or throat

If this sounds familiar, you might be deficient in vitamin B12

The people who feel a real difference from B12 shots are the ones who were genuinely low to begin with