Medical supervision, quality product sourcing, and realistic expectations are essential for safe and effective use
Sanz-Cuesta T, Escortell-Mayor E, Cura-Gonzalez I et al (2020) Oral versus intramuscular administration of vitamin B12 for vitamin B12 deficiency in primary care: a pragmatic, randomized, non-inferiority clinical trial (OB12)
You can also get vitamin B-12 deficiency if you follow a vegan diet (meaning you dont eat any animal products, including meat, milk, cheese, and eggs) or you are a vegetarian who doesnt eat enough eggs or dairy products to meet your vitamin B-12 needs
Uncommon but notable adverse effects include: Hypokalaemia (low potassium) can occur during initial treatment of severe megaloblastic anaemia, as rapid cell production consumes potassium
Prevalence of vitamin B-12 insufficiency during pregnancy and its effect on offspring birth weight: a systematic review and meta-analysis