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Side Effects and Safety Gastrointestinal, heart-rate, and stomach-emptying effects are coupled to dose and titration speed

The injections sit in the muscle tissue as kind of a reservoir and slowly leak out over time into the blood, explains Joshua Miller, Ph.D., a B12 researcher, and professor and chair in the Department of Nutritional Sciences at the School of Environmental and Biological Sciences at Rutgers University

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[3] Signs, symptoms and complications [edit] Vitamin B 12 deficiency appears slowly and worsens over time, and can often be confused with other conditions