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The common ones are a little stinging, redness or swelling at the site, a small harmless lump, or occasional bruising if a tiny blood vessel is caught
"Genentech and Alkermes Announce Decision to Discontinue Commercialization of Nutropin Depot"
Surgical procedures or conditions that affect the gut, such as gastric bypass surgery or celiac disease, can prevent intrinsic factors from binding to B12 and prevent the body from breaking it down before absorbing the vitamin