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That said, responsible use requires medical supervision

If your diet includes plenty of B12-rich foods such as dairy products, meat, and fish, you might not need shots as frequently

Intramuscular B12 Injection Procedure When performing an intramuscular injection, insert and withdraw the needle at a right angle (90 degrees)

Cyanocobalamin, vitamin B12 preparations containing benzyl alcohol should be avoided in premature neonates because benzyl alcohol has been associated with gasping syndrome, a potentially fatal condition characterized by metabolic acidosis and CNS, respiratory, circulatory, and renal dysfunction