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There are a few common, mild side effects associated with B12 shots, including: Mild diarrhea, itching, nausea and vomiting, dizziness, headaches, and hot flashes Redness or swelling at the injection site Temporary soreness at injection site Serious side effects are rare but require immediate medical attention

PMID: 3583493

Both approaches have evidence supporting them this RCT provides the strongest clinical evidence, while the 2021 Pamela R.D

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