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PLoS One 11 , e0152989, (2016)

This biochemical reality often gets twisted into claims about energy boosts from injections

Overdosing can lead to elevated B12 levels and potential side effects, while underdosing may not adequately address symptoms

Further, it does not imply that the Military Health System requires that use by DoD health care practitioners or considers it to be the standard of care. Rather, the inclusion in CPGs of off-label uses is to inform the clinical judgment of the responsible health care practitioner by providing information regarding potential risks and benefits of treatment alternatives