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If your vitamin B12 deficiency is not caused by a lack of vitamin B12 in your diet, youll usually need to have an injection of hydroxocobalamin every 2 to 3 months for the rest of your life

There are some very rare side effects listed in medical literature (mostly when large doses are given): for example, one out of many thousands of patients might develop a disturbance in liver enzymes or a tingling in the fingers or toes

Thats why it is essential to inform your provider at Royal Palm Beach Medical Group about all medications and supplements you are taking

The stomach must also be able to produce enough stomach acid for optimal B12 absorption