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Vitamin B12 injections can be given in three ways: into the muscle (intramuscular), under the skin (subcutaneous), or through a vein (intravenous)

In some cases, injections may be required to achieve normal levels

According to the British Nutrition Foundation, dietary deficiency is rare but it can sometimes occur in vegans who obtain virtually no B12 in their diet

At comparable oral doses almost identical B12 concentrations were initially detected in the blood serum

Very high doses of vitamin B12 may cause mild symptoms such as: Headache Fatigue or weakness Nausea Vomiting and diarrhea Tingling sensation in hands and feet