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Pain may be noted with intramuscular injection

I felt like I wasn't going to make it through the next hour before starting b12 and then had severe side effects for a few weeks or so

Quite often a course of B12 injections will be prescribed by your doctor, as this will restore levels to normal quickly- this method will work even if you are unable to absorb B12 properly, as it bypasses your stomach and gut

It has been studied in both oral and injectable forms