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The most common side effect of B12 injections is irritation at the injection site, and injections are typically administered intramuscularly or subcutaneously. Less common side effects may include headache, nausea, diarrhea, itching, or a brief feeling of light‑headedness after the injection
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Sublingual formulations (tablets or sprays placed under the tongue) are marketed as having superior absorption, but current evidence does not conclusively demonstrate that they offer significant advantages over standard oral tablets
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