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The World Anti-Doping Agency (WADA) has banned its use in sports7

While its commonly found in foods such as meat, fish, and dairy, some individuals may require vitamin B12 injections to maintain healthy levels

The clinical consequences could range from local inflammation or rash through to serious health issues, such as systemic hypersensitivity, including anaphylaxis, or antibody formation

While short-term anti-inflammatory effects can be helpful, long-term immune regulation --- especially in patients with autoimmune conditions --- needs careful monitoring

This may lead to abnormal blood cell production, potentially increasing B12 levels in the blood 3 , 10