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A temporary strange or metallic taste in the mouth has also been noted in some cases immediately after injection, but this is not harmful

healthcare facilities follow this method under the CDCs multi-dose vial protocol

[1] However, because B12 is water-soluble, the body typically eliminates excess amounts through renal excretion without adverse effects

They are used to quickly elevate the level of B12 as the vitamin goes directly to the bloodstream

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They are often most effective when used to complement a well-designed plan that includes nutritional support, movement, and ongoing accountability