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Nature cell biology 2013;15, 978-990, doi:10.1038/ncb2784

However, as with any medical procedure, there are some risks associated with vitamin B12 injections

I may have eaten a steak the night before but My MD had a fit

B12 injections bypass the digestive system entirely, delivering the nutrient directly into the bloodstream for immediate, complete absorption far more effective than oral supplements when deficiency or absorption issues are present

Sometimes, if a person ingests a tapeworm in contaminated fish, the tapeworm can sap nutrients, including vitamin B12 and folic acid, leading to a vitamin deficiency anemia

nhtsa.gov Total body water and mild dehydrations effect on plasma volume counterpoint research on short-term fluid restriction.