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Some compounded hydroxycobalamin products may specify storage at room temperature or refrigerated

Side effects are rare and usually mild (slight injection-site soreness)

However, for B12, if any part of that complex digestive process is compromised especially the intrinsic factor or the absorption sites in the intestine then a significant portion of the B12 from a tablet might never reach your bloodstream

Vitamin B12 also interacts closely with neurotransmitters within the brain and appears beneficial in Autism