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There is some limited preclinical data that it could impact tissues involved in reproduction, but direct, reliable evidence showing a connection to improved human fertility is missing at this time
As a general rule, IM is favored when the goal is rapid correction of a clinical deficiency, when the patient has difficulty absorbing B12 through oral or sublingual routes, or when a provider wants predictable peak serum levels
Septic (infected) cases require immediate antibiotic treatmentwatch for fever above 102F, red streaking, or warmth that spreads beyond the joint area
Gastrointestinal Issues: Some people might experience digestive issues like nausea, diarrhea, or upset stomach