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With intramuscular injections of B12, any excess will result in high levels within your blood so you may experience side effects such as headache, dizziness, tiredness, or gastrointestinal issues including nausea, until your body has metabolised any excess through your kidneys enroute to excretion via urine

Heres some more information to help guide you (FDA, 2013): If the device is prefilled with the exact dosage, your healthcare provider will instruct you to hold the pen to the skins surface and push the button on the top

The precise dose will be determined by your doctor, taking into account your specific disease condition and other relevant factors

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