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The B-12 is given into a muscle (known as an intramuscular injection)

I had occasion to chat with the clinic twice, and the folks were polite, respectful, and answered all my questions satisfactorily

62, 206209.10.1016/j.neures.2008.07.005 41 CarrL

doi: 10.4137/CGM.S11288 360 StewardWPBrownK

Common Side Effects Gastrointestinal (additive): Nausea, vomiting, diarrhea, constipation and reduced appetite are the most common events and are amplified by stacking two agents that act on gut motility the dominant adverse-event category in REDEFINE [1] [2]

(More information) Both depression and osteoporosis have been linked to diminished vitamin B 12 status and high homocysteine levels