USA 110 , 1543715442 (2013)
If youre not deficient, routine injections are seldom necessary
Physicians must ensure patients are following a structured, nutrient-dense diet
Vitamin B12 injections are sometimes promoted as a quick fix, but their effectiveness depends on your individual health needs
[11] Long-term metformin therapy reduces calcium-dependent intrinsic-factor binding, lowering B12 absorption and potentially necessitating higher or more frequent parenteral doses
With intramuscular injections of B12, any excess will result in high levels within your blood so you may experience side effects such as headache, dizziness, tiredness, or gastrointestinal issues including nausea, until your body has metabolised any excess through your kidneys enroute to excretion via urine