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The injections are prescribed by a doctor and given intramuscularly (into a muscle)

For example, too much vitamin B6 may cause severe skin lesions, along with other symptoms like numbness, digestive issues, and poor muscle control, according to Mayo Clinic

also, different anesthesiologists have varying fees

That gap is why some people supplement for months without their bloodwork budging, while a shot can move the needle far sooner than you'd expect