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Summary: Excessive vitamin B12 intake rarely causes toxicity, but very high levels from supplements or injections may be associated with skin reactions such as acne-like eruptions, though serious adverse effects remain exceptionally uncommon

Health Policy 11 , 237249 (2013)

An ergonomic desk setup and regular movement breaks reduce the accumulation of muscle tension that leads to chronic neck and shoulder spasms during waking hours

The problem started in the last decade with the availability of highly efficient oral and injectable forms of B12