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The NHS side-effects guidance for hydroxocobalamin, the form used in the UK, lists nausea, headache, dizziness and injection-site reactions as known effects that usually pass on their own

Flier JS, Underhill LH, Le Roith D

This makes them particularly effective for individuals with absorption issues or severe deficiencies

Certain health conditions such as intestinal or stomach problems, poor nutrition, cancer, HIV, pregnancy, old age, veganism, and alcoholism can cause vitamin B12 deficiency

Troncoso R, et al
