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As noted above, it's been shown to be as, if not more, effective in maintaining healthy vitamin B12 levels compared with methylcobalamin

doi: 10.1111/j.1600-0536.1981.tb04113.x

My recommendation for best results is to clean up your diet, exercise 3 days a week or take daily walks, drink plenty of water, and look into fiber, protein, and electrolyte supplements

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Hydration and Irrigation: Hospira Sterile Water for Injection is also utilized as an irrigating solution during surgical procedures and for patient hydration when needed

After reading other peoples experiences I concluded this was more about my body desperately needing the B12, not a reaction against it