b12 injections im or sc Cyanocobalamin (B12) Injection 1000 mcg/mL, Multiple Dose Vial 1 mL, 25/Tray Cyanocobalamin Injection – 1000 mcg/mL

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These include injection site pain, headache, dizziness, and rarely, hypersensitivity reactions

This is a safer option for people who want metabolic help but do not want to worry about increasing their insulin resistance or unwanted hormonal side effects

Conflict of interest The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest

Concomitant deficiencies (iron, folate), chronic illness, or drug interactions may blunt clinical response and warrant further evaluation