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Low B12 may indicate a more severe condition, however, its unlikely that it would be the first, or only symptom, Franklyn says

However, if an overdose is suspected, contact your local poison control center or emergency room immediately

See the research here: Acupuncture & Vitamin B12 Ensuring adequate B12 (ideally verified by labs) whether through diet, supplementation, or injections (when needed) is often a helpful adjunct in supporting nerve recovery and combined with acupuncture can enhance recovery improving the odds of more complete recovery

I could only find one reference to excessive Vitamin B12 being linked to blood clotting, on a website belonging to what looks like a private Vietnamese hospital chain

Here are the main options: Oral supplements

Tissues where cells divide rapidly (bone marrow, gut lining, skin, and healing wounds) are most dependent on adequate vitamin B12