adverse reactions to b12 injections Shots Side Effects And How Treat Them Too Much Vitamin B12: Risks,

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Diabetes Mellitus: Damage to the insulin-producing cells in the pancreas can lead to diabetes, requiring lifelong insulin therapy

This usually occurs in individuals with underlying digestive conditions, those who have trouble absorbing all nutrients through digestion, or those with pernicious anemia, which specifically prevents B12 absorption

I use some folded loo roll over the top of the ampoule, just in case it breaks (only one break in 2 years of injecting 23 times per week)