are there different kinds of b12 injections vs Pills: Richmond's Complete Guide Vitamin B12 Forms

Typically, excess vitamin B12 exits the body through urine and does not pose serious toxicity concerns

Causes of deficiency can include an insufficient diet of animal products, gastrointestinal problems that affect absorption, and certain autoimmune medical conditions

Salem MA, Wolff GL

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If the next scheduled dose is almost due, just skip the one you missed and carry on as usual never stack two doses to catch up