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These injection shots are the best way to treat a deficiency and are given intramuscularly

It's not fair that doctors do not know about this side effect My GP and nurse were adamant that the insomnia was nothing to do with the injections, but it does seem to happen to a minority of people

[19] Cyanocobalamin vials should be stored at controlled room temperature (15 - 25 C), protected from excessive light and humidity, and kept in their original packaging to preserve potency

This does not automatically mean the products are ineffective, but it is a reason to apply scrutiny and to look for independent, peer-reviewed evidence before making decisions about anything you intend to inject