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True allergic reactions are rare, but these vitamins can cause some side effects, especially in high doses

The active ingredient is the same, but the responsibility for accuracy shifts to you

Pharmacy Compounding: Essential for compounding pharmacies and hospital pharmacies preparing custom doses

Listed as a prohibited substance by WADA (World Anti-Doping Agency)

Very low body fat People with very low body fat percentages (typically below 10-12% for men or 18-20% for women) may not have sufficient subcutaneous tissue on the thigh for reliable subcutaneous injection

Intramuscular hydroxocobalamin injections are the recommended first-line treatment in the UK, as they bypass the absorption problem caused by lack of intrinsic factor