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Efficacy of sublingual and oral vitamin B12 versus intramuscular administration: insights from a systematic review and meta-analysis - PMC

With intramuscular injections of B12, any excess will result in high levels within your blood so you may experience side effects such as headache, dizziness, tiredness, or gastrointestinal issues including nausea, until your body has metabolised any excess through your kidneys enroute to excretion via urine

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The biological mechanisms that drive weight regain, including hormonal adaptations, metabolic rate reduction, and neurological changes in appetite regulation, persist indefinitely