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The vitamin is injected directly into muscle (intramuscular) or under the skin (subcutaneous) and is released gradually into the bloodstream

it has also been associated with blue, pink, and white urine, but its most often associated with green

Subcutaneous injections Oral versions exist but tend to be less potent and less common

JAMA Intern Med 178:10861097

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Sao Paulo Med J 134:473479 Damio CP, Rodrigues AO, Pinheiro MFMC, Cruz Filho RA, Cardoso GP, Taboada GF et al (2016) Prevalence of vitamin B12 deficiency in type 2 diabetic patients using metformin: a cross-sectional study