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B12 shots contain synthetic B12 that is injected into a muscle

Dairy, gluten, and soy-free

Extra-Articular Disease Manifestations in Rheumatoid Arthritis: Incidence Trends and Risk Factors Over 46 Years

The most commonly reported adverse effects were mild to moderate headache and gastrointestinal symptoms including diarrhea, flatulence, nausea, and increased appetite

Standard conversions: 100 units = 1ml 50 units = 0.5ml 10 units = 0.1ml 5 units = 0.05ml Most insulin syringes are marked in 1-unit increments

The authors acknowledged that the study was short and also did not include a placebo arm, because providing the placebo form of sublingual vitamin B12 was very difficult