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Vegetarians and vegans are more likely to develop B12 deficiency compared to meat-eaters

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In the UK, intramuscular (IM) administration is standard practice for hydroxocobalamin, though subcutaneous (SC) may be used if specifically advised by your healthcare provider and following appropriate training

Side effects include but are not limited to: Slowed reflexes and reaction time (0.02% 0.04%) Slurred speech (0.05% 0.08%) Memory trouble, blackouts, and memory loss (0.15%) Nausea and vomiting (0.15% 0.20%) Loss of physical coordination (0.20% 0.29%) Passing out (0.30% 0.39%) Heartbeat, breathing, and blood pressure changes (0.40% over) BAC Card information Female BAC Card Male BAC Card (Click images to enlarge)

Vegetarians and vegans seeking to prevent deficiency rather than correct existing insufficiency may maintain levels with consistent oral supplementation