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[78] Soil that is deficient in cobalt may result in B 12 deficiency, and B 12 injections or cobalt supplementation may be required for livestock

Most people can fulfill their B12 needs through a nutrient-rich diet

Based on researcher community reports, the most commonly noted adverse effects are injection site reactions (redness, minor discomfort), mild nausea particularly with oral administration, and occasional transient dizziness or headache