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Both carry preclinical-only evidence ratings

Intramuscular (IM) hydroxocobalamin injections bypass the intrinsic factor-mediated absorption mechanism, delivering the entire dose directly into circulation

doi: 10.1126/science.1084772

Talk to your doctor if you experience any allergic symptoms like: Hives Swelling of the face, lips and tongue Difficulty breathing Side effects on high dosing If you take very high doses of vitamin B12, above the RDA values, you might experience additional side effects like: Headaches Dizziness Nausea Vomiting It is crucial to stay within the recommended dosage range to avoid these issues