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It lacks electrolytes and is hypotonic, which can cause red blood cells to swell and rupture (hemolysis) if administered directly into the bloodstream
therefore, nutritional deficiency of this vitamin is rare in adults in the absence of malabsorption disorders
C (Comparison): intramuscular administration of Vitamin B12
Injection to a nerve may cause some amount of pain initially but at tolerable levels
People with pernicious anemia or significant gastrointestinal absorption issues may be placed on injections for this reason
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