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No serious adverse events

People with pernicious anaemia need large doses of vitamin B12 given at regular intervals, usually as an intramuscular injection (Obeid et al., 2015

Clin Biochem 2003;36:585-90

It is a good idea to plan periodic testing of iron status with your sports physician, especially if you are female, vegetarian, have a high training volume and are involved in endurance sports