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Your body absorbs only as much as it needs, and any excess passes through your urine

By the way, even if you dont have pernicious anemia, but a severe B12 deficiency due to other causes, B12 shots are still the way to go
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How To Use: For Healthcare Professionals: Administer via intramuscular or subcutaneous injection as directed by a physician

The NHS lists injection-site pain and itching as common and self-limiting
