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Antioxidants 10 , 38 (2020)

Well, normally this vitamin is absorbed in the gut and so a disruption to normal gut function will reduce the amount of vitamin B12 that's being absorbed by the intestines and that will lead to a depletion of the normal body stores, which will then result in a deficiency in this vitamin within the body as a whole
J Comp Neurol 421: 429436, 2000

Injecting too superficially, failing to rotate sites adequately, or not allowing alcohol to dry completely before injection all contribute to local reactions
