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Deficiencies can occur with medical conditions such as atrophic gastritis (which causes thinning of the stomach lining), pernicious anaemia, Crohns disease, celiac disease, lupus, or other immune system disorders and certain medications

That said, although side effects from vitamin B12 supplementation are very rare, it can possibly occur with B12 injections, but not with oral supplements

Do not reuse needles or syringes

It is critical to follow medical advice on dosage rather than adjusting on ones own

Because B12 and all other B vitamins are water-soluble, if you end up taking too much, they are easily eliminated in the urine