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What Are IM Vitamin Injections
No, but cyanocobalamin toxicity may be real: A young woman was treated with multiple daily doses of 1 mg of cyanocobalamin for severe pernicious anemia

doi:10.1186/s41043-024-00568-6 3

Colangelo LA, Liu K, Gapstur SM

Levels were lowest in regions with the highest rates of maternal vitamin B 12 deficiency

The difference is not in the injection itself but in the infrastructure and expertise supporting it
