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Side effects from Vitamin B12 injections are rare and mild, such as minor redness or tenderness at the injection site

You should take B12 shots if you suffer from B12 deficiency, especially if you are not able to absorb B12 through the stomach (pernicious anemia)

Two significant long-term complications can arise from severe or chronic pancreatic damage: Exocrine Pancreatic Insufficiency (EPI): The pancreas loses its ability to produce digestive enzymes, leading to poor nutrient absorption, weight loss, and diarrhea

Some patients report improved energy after adding b12 injections to their protocol

PubMed: 11700589 AOD 9604 Effects on Visceral Adiposity, Metabolic Syndrome, and Insulin Sensitivity in Obese Mice animal Shen Y, Liu B, Duong T, et al