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There are also a number of health conditions that prevent patients from being able to absorb a sufficient amount of vitamin B12 both through their diet and through vitamin supplements, making injections the only method that ensures they are not deficient
It can be caused by vitamin B deficiency

The most common B12/MIC side effect is pain, redness, or itching at the injection site

For people with type 2 diabetes, the SURPASS trial series demonstrated exceptional glycemic control alongside weight loss, which is why the compound received its first approval for diabetes before the obesity indication followed
[18] [19] The US FDA at the end of 2006 approved the use hydroxocobalamin as an injection for the treatment of cyanide poisoning

However, it can be added to some food products and is available as an injection or oral supplement