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Healthline notes that another side effect of too much vitamin B12 is the development of a rare and slow-growing blood cancer known as "polycythemia vera" (PV)

Vitamin and Mineral Requirements in Human Nutrition (2nd ed.)

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Since this nutrient is primarily found in animal-based products, those following vegetarian or vegan dietsas well as individuals facing absorption challengesmay not receive enough B12 from food alone

This makes B12 injections an optimal choice for those with serious deficiencies and sensitive stomachs