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However, with direct injection, if you do not need the additional B12, it may result in high levels in your blood that can cause side effects including gastrointestinal issues, headache and dizziness, tiredness and weakness, or skin irritation until the excess is flushed out via your kidneys and urine

103 Patients should be screened for risk factors for reduced BMD, including low vitamin D and calcium levels, and supplementation implemented as appropriate

30Seage CH, Semedo L