oral-vs-injection exposure
The biggest risks come from improper technique, not the vitamin itself
New York, NY: McGraw-Hill Medical Publications
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These include vitamin B12 deficiency and malabsorption that is caused by the following medical conditions, according to the NIH [1]: Pernicious anemia Tropical sprue Pancreatic insufficiency Surgery in the gastrointestinal tract Certain medications Deficiency in the diet Side effects of B-12 injections Also, according to the NIH, vitamin B-12 injections have some potential side effects, including [1]: Diarrhea Itching Swelling Risk of allergic reaction and anaphylaxis Can Vitamins Aid in Weight Loss
Because of this, a recent petition in the UK is urging the government to allow injectable B12 to be sold over the counter at pharmacies, prescription-free: The petition of the residents of the constituency of Loughborough declares that a lack of B12 can have far reaching and significant effects on both physical and mental health