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In most people, a good quality B vitamin supplement, and not a shot, is probably the best solution

A common protocol involves administering 1,000 mcg of B12 weekly for 4 to 8 weeks, depending on the deficiencys severity and the patients response

Reduce the dose if symptoms persist

This is not a health side effect per se, but it is a consequence of use that certain populations must consider

And then I would point out that there seems to be something else going on regardless of the amount of B12 in the patients blood