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Neuropsychiatric symptoms A July 2019 presentation in the State Medical Society of Wisconsins Journal WMJ ( 3 ) noted a case of psychosis following epidural injection

1000mcg of methylcobalamin preservative free (concentrated) put into an acupuncture point by Laura 2500mcg of methylcobalamin given as given by one of our nurses with an intramuscular (IM) shot
Allergic reactions to some excipient in the concoction
The relationship between B12 and mental health is well established in medical literature, though it is primarily characterised by the psychiatric consequences of deficiency rather than excess

Nihon Yakurigaku Zasshi
10.1097/MAO.0b013e3182a446bc 44
