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12 The Medical Board ruled against a patient who claimed his deteriorating health was due to the continued treatment with B12 injections

Its given intramuscularly (IM) or subcutaneously

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For example: Fatigue, unexplained weight loss, or abdominal pain may indicate liver disease or cancer Easy bruising, night sweats, or feeling full quickly (early satiety) may suggest a myeloproliferative disorder Swelling in the legs, reduced urine output, or persistent nausea may point to kidney disease In cases of very high B12 from injections (not oral supplements), some people have reported headache, nausea, diarrhea, facial flushing, or skin rash

in others, the picture is less clear