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doi: 10.1078/09447110260571599 113 KimJKimCSLeeYMSohnEJoKKimJS

Injection Site Reactions Pain, redness, swelling, and warmth at the injection site are common, particularly with IM injection and castor oil-based preparations

However, extremely high levels may indicate an underlying condition such as liver disease, kidney disease, or certain types of cancer

For people with absorption problems, such as pernicious anaemia, injections are medically necessary as oral supplements will not be absorbed effectively