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A few people notice temporary soreness at the injection site or mild flushing that fades quickly

This is because though cobalamin will take a couple of weeks to reach appropriate levels in the body, especially if deficient, it can last in the body for a long time once it reaches appropriate concentrations

1,2,6,12 Dementia-like disease, including episodes of psychosis, is thought to be associated with more severe and chronic deficiency, although supporting evidence is poor

Since 2000, 33 non-insulin peptide therapeutics have received global approval

While it's broadly deemed safe, some users may experience gastrointestinal upsets, occasional headaches, or skin irritations