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Aug 2017;36(4):295-298

While oral supplements can support general nutrition, injections offer significantly higher absorption rates

Injection site reactions are common, and the lack of standardised formulations means ingredient quality and sterility cannot be guaranteed outside regulated healthcare settings

Medical professionals recommend that these injections should only be used during pregnancy when clearly necessary, and the risks and benefits must be carefully evaluated by a healthcare provider

In addition to excessive intake of dietary supplements, parenteral administration of vitamin B12 may be another cause of excess, which is likely associated with an immune system response to produce anti-TC II antibodies