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Borrows (not his real name) also made a poor first impression when he insisted that people with B12 deficiency can easily be treated with oral supplementation, as 1% of an oral dose is taken up in the body by a process called passive absorption

Other side effects that can occur include: Excessive sweat production Rapid weight gain Pain when breathing Shortness of breath when lying down Anxiety Increased or irregular heart rate Numbness, tingling or muscular weakness Increased thirst Urinary frequency B12 injections can also cause allergy symptoms immediately after administration, like difficulty breathing, a swollen throat, mouth, or swelling of the mouth, tongue or face

Patients with pernicious anemia, intrinsic factor deficiency, or renal impairment require provider oversight