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Administration via injection is the most effective way to get the vitamin into your body and work as soon as possible, allowing you to experience the benefits in a matter of days
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If certain foods upset your stomach, like ones with strong smells, fizzy drinks or dairy, its best to skip them
fatigue/tiredness appears in the broader tolerability profile but was not the dominant safety signal compared with GI events
Side effects and practical differences Hydroxocobalamin injections can cause temporary pain, swelling or itching at the injection site
Lancet Diabetes Endocrinol 2025;13:196-209.Article 95
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