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According to the NIH Office of Dietary Supplements, vitamin B12 is available as cyanocobalamin and hydroxocobalamin, which are typically administered parenterally by intramuscular injection to bypass gastrointestinal absorption barriers

They can include pins and needles (paraesthesia), numbness, balance problems, gait disturbances, cognitive difficulties (brain fog), memory issues, mood changes, or even more severe problems like subacute combined degeneration of the spinal cord

electrocardiograms were also performed at these time points