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[4] In case of accidental large overdose (e.g., someone receives far more frequent injections than prescribed), monitoring for symptoms like flushing, tingling in extremities, or liver enzyme elevations would be prudent

Add it up and the trade the hype never mentions looks like this: full exposure to an unregulated, possibly counterfeit product, in exchange for a benefit that has never been demonstrated in a single published human trial

PMID: 27138887 | doi:10.2174/1570159x13666160502153022 Vukojevi J et al

Biochem Biophys Res Commun (2019) 513:48693

This is the most important caveat for beginners, and the one most vendor pages omit

The best sources of B12 will always be the food you eat (specially meat) but what if you need to get more B12