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If your B12 is already normal, an injection is unlikely to change how you feel

Diarrhoea (defined as three or more loose or watery stools per day) is an uncommon side effect of vitamin B12 supplementation , though it is listed as a rare or uncommon adverse reaction in the official product information for both oral cyanocobalamin and injectable hydroxocobalamin preparations

In todays sanitized, modern world, the water supply is commonly chlorinated to kill off any bacteria

Maintain fasted administration

There are more than 4.9 million diagnosed cases of chronic liver disease in the United States, based on statistics shared by the Centers for Disease Control and Prevention (CDC)