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I hope one day we will be able to inject measured doses with a pen the same as my father would inject his insulin

Because it is essentially water without sufficient solute, direct intravenous administration can cause red blood cell lysis (hemolysis) due to its hypotonic nature

It is classified under WADA's S0 (Unapproved Substances) category and is prohibited in competitive sport regardless of administration route

One of the primary reasons individuals opt for B12 IM injections is to address B12 deficiency, which can lead to symptoms such as fatigue, weakness, difficulty concentrating, and neurological issues

References Pickart L, et al