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Jacobsen DW, Gatautis VJ, Green R, Robinson K, Savon SR, Secic M, Ji J, Otto JM, and Taylor LM Jr (1994)

To confirm the level of vitamin B12, serum methylmalonic acid is measured

Vermeulen EG, Stehouwer CD, Twisk JW, van den BM, De Jong SC, Mackaay AJ, van Campen CM, Visser FC, Jakobs CA, Bulterjis EJ, and Rauwerda JA (2000)

These might include: A sore arm, or redness or swelling at the injection site Headache, fever, or muscle pain Tiredness Abdominal pain or nausea Chills and shivering For most people these issues are mild, but some people will experience side effects that make daily activities difficult