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Other reactions: Some individuals report transient headache, dizziness, flushing, or acneiform eruptions following injection

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Bolaman Z, Kadikoylu G, Yukselen V (2003) Oral versus intramuscular cobalamin treatment in megaloblastic anemia: a single-center, prospective, randomized, open-label study

A burning sensation at the injection site happens when the administration is too fast

The immune system attacks intrinsic factor, the stomach protein needed to absorb B12