Most side effects are mild and go away quickly
Intramuscular (IM) B12 injections using hydroxocobalamin, the preferred licensed form in the UK are recommended when: Oral supplementation has failed to correct a documented deficiency The patient has difficulty adhering to daily oral regimens Serum B12 levels remain persistently low despite adequate oral dosing There is clinical evidence of neurological or haematological complications In line with BNF guidance, the standard IM regimen for confirmed deficiency without neurological involvement is a loading course of 1 mg hydroxocobalamin on alternate days for two weeks , followed by maintenance of 1 mg every three months

Here are some common side effects- Common side effects Pain, redness, or swelling at the injection site Mild diarrhea or upset stomach Nausea or vomiting Dizziness Headaches Rare but serious side effects Allergic reaction, including itchiness, hives, difficulty in breathing, or swelling on the face, lips, and throat Irregular heartbeat It is essential to consult with a healthcare provider before starting vitamin B12 injections to ensure they are appropriate for your specific health needs and to receive proper administration guidance
Still, even those who dont have anemia can benefit