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Common side effects include: These side effects are usually temporary and subside on their own

Advantages of oral form over IM injection: Less nursing time on injections Less complexity of care Less discomfort/pain Less bleeding in patients who take anticoagulants Less costly according to some analyses Disadvantages of oral form over IM injection:: Greater risk of non-compliance In 1991, a survey done on Minneapolis internists led one commentary to conclude that oral vitamin B 12 replacement for pernicious anemia was one of medicines best kept secret. 18 In 1996, when the survey was repeated again in the same area, awareness and use of oral vitamin B 12 for pernicious anemia had increased substantially (019%), but the majority of doctors still remain unaware of this treatment option (61%)

If you do not want to take lipotropic injections, you have to work with a fitness expert and dietician for proper guidance

We suppose the change is because the initial doses are enough to keep B12 levels within the desired range

May be a marker of underlying disease (e.g., liver disease, malignancy, MDS/CML)