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These may include mild digestive changes (nausea, altered bowel movements), increased energy levels that may feel stimulating initially, mild headaches (often related to dehydration), and minor injection site reactions (redness, temporary discomfort)
If you dont supplement, an elevated B12 can be a marker for underlying conditions including liver disease, kidney dysfunction, or certain blood disorders
Keep in mind that oral B is not well absorbed in people who truly lack intrinsic factor or have certain GI issues, which is why B is usually injected or given as a high-dose sublingual in those cases
Professional groups overviews such as MIC Injections note perceived effects last ~12 weeks and may take 34 weeks to notice