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Although ibuprofen is available over the counter, the FDA warns that it can cause serious side effects including stomach bleeding, kidney damage and cardiovascular complications especially when used at high doses or for long periods

further notes that NICE CKS guidance states that treatment of B12 deficiency in people with neurologic involvement should include injections on alternate days until there is no further improvement

Doing it wrong can cause bruising, bleeding, or even infection

However, absorption decreases significantly as doses increase, and individuals with compromised gut health may absorb only 1-2%

Megaloblastic anaemia a review from University Hospital, Kuala Lumpur