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Oral supplements are absorbed through the digestive tract and may be less effective for people with absorption issues

Pregnant and breastfeeding women : They require extra B vitamins, like folate, for fetal development

Histopathological evaluation used a modified Mankin scoring system

Common side effects of B12 injections These B12 effects tend to resolve on their own within a day or two: Injection site reaction, such as mild soreness, redness, or swelling Brief itching or warmth at the injection area A feeling of fullness or pressure in the muscle Mild headache or nausea shortly after the shot These reactions are typically related to the injection itself, not the vitamin

"Guidelines for the diagnosis and treatment of cobalamin and folate disorders"