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These elevated levels reflect successful absorption and distribution of the vitamin into the bloodstream, where it can be utilized by tissues (source: National Institutes of Health)

doi: 10.3390/jpm12050721

Systematic reviews show that more than 35 preclinical studies regularly produced positive histological and functional results, with no toxicity found in safety evaluations

For people with absorption problems, such as pernicious anaemia, injections are medically necessary as oral supplements will not be absorbed effectively

Injection-site and systemic risks : Improper reconstitution or non-sterile technique can introduce bacteria or particulates into the solution, leading to localised infections, abscesses, or, in severe cases, systemic sepsis