When administered intramuscularly (arm or buttock), you will have a rapid onset of action and it bypasses GI metabolism as well as provide increased bioavailability
Altered B12 handling and reduced clearance in kidney disease, and both cellular release and reduced clearance in liver disease, can raise B12, so supportive renal or hepatic findings make those causes plausible
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Pernicious anemia can sneak up on you
Many people experience improved mood, mental clarity, and reduced fatigue as a result of consistent injections
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