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According to StatPearls (NCBI Bookshelf), the most common adverse effect of intramuscular vitamin B12 injections is significant pain at the injection site, which is particularly noted in thinner individuals
Avoid the inner buttocks completely because of the sciatic nerve risk
Here is the checklist to check the legitimacy of the provider or pharmacy: Licensed prescriber (MD, NP, or PA) with a documented consult: You should get yourself evaluated by a qualified licensed prescriber, either a doctor (MD/DO), nurse practitioner (NP), or physician assistant (PA)
Testing after a year catches any developing issues before they become problematic
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