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Pull the plunger back to release the correct dosage of B12 solution into the syringe

The potential of a B12 overdose is not very likely, but it is most certainly possible

caution in methylation disorders (use only under supervision) No known drug interactions with oral medications, but B12 may mask B9 (folate) deficiencycombined B-vitamin status should be assessed periodically

Vitamin B12. Advances in Food and Nutrition Research 83 (2018): 215279

dose absorption ratio Cyanocobalamin requires conversion to metabolically active cobalamin

If you have one of those conditions, getting B12 injections can prevent a deficiency before it starts