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Biotin injections can be given in the upper forearm or glute or intravenously

Adverse effects observed in clinical trials include: Gastrointestinal effects: nausea, vomiting, diarrhoea, and constipation particularly during dose escalation

doi:10.1007/s12070-018-1381-9 Mahalingam R, Wellish MC, Dueland AN, Cohrs RJ, Gilden DH

As a matter of fact, no living organism in the taxonomic Kingdom Animalia is capable of synthesizing cobalamin

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