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Ethics declarations Ethical approval was obtained from the institutional ethics committee of Kasturba Hospital, Manipal, prior to the commencement of the study

Tomasiewicz, H

P values indicated, calculated by two-tailed t -test ( a,b,d ) or one-way ANOVA with Dunnetts multiple comparisons test ( g,i )

Potential Risks and Side Effects of B12 Injections Whilst B12 injections are generally considered safe due to the vitamin's water-soluble nature (excess is excreted renally), several adverse effects and risks warrant consideration