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Elevations in blood pressure (180 mmHg systolic or 110 mmHg diastolic) were observed in approximately 18% of healthy subjects (not exposed to cyanide) receiving hydroxocobalamin 5 g and 28% of subjects receiving 10 g

But for many, a daily capsule is enough no needles required

[16] [44] Women who consume little animal-sourced food, or who are vegetarian or vegan, are at higher risk of becoming vitamin depleted during pregnancy than those who consume more animal products

Thats it

Without it, you are guessing, and you might be getting shots you do not need, getting them too often, or missing the real problem entirely