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Even if your lab values say you are normal, your body still may be needing more as lab accuracy for vitamin B12 is highly debated

They are not subject to the same purity testing, contamination screening, or dosing accuracy requirements

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Signs of a severe allergic reaction (anaphylaxis) include: Skin rash, hives, or severe itching Swelling of the face, lips, tongue, or throat Difficulty breathing or wheezing A rapid heartbeat or a sudden drop in blood pressure If you ever develop swelling of the face or throat, trouble breathing, or other signs of a severe reaction after any injection, treat it as an emergency and call 911