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[9] Patients should be advised to contact their healthcare provider if they experience any severe or persistent side effects, such as difficulty breathing, chest tightness, severe rash, or dizziness

In its dry form, B12 is remarkably stable against both heat and light

Vitamin B12 Injections: What You Need to Know Vitamin B12 Injections deliver a concentrated dose of B12 directly into the bloodstream, bypassing the digestive system entirely

In practice a GP or nurse may administer off-licence by giving a sub-cutaneous (under the skin, SC) injection but it is important to remember that the GP makes their own decision and takes their own accountability and reliability if they go off-licence