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[10] [11] Intramuscular B12 injections (hydroxocobalamin or cyanocobalamin) bypass the digestive system, but UK product information (SmPCs) for hydroxocobalamin injections does list gastrointestinal disturbances, including diarrhoea, as possible adverse reactions, albeit rare

Mohamed AA, Aref AM, Talima SM, Elshimy RAA, Gerges SS, Meghed M, et al

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8 This effect increased with duration of therapy, and patients had an unclear prophylactic supplementation response