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Progress in Neurobiology 61 (3): 267304

Ive had patients come in with B12 levels of 201 pg/ml with the word normal scribbled across it by the doctor

For conditions where there are defective nerves, such as peripheral neuropathy, neuralgia, and Mortons neuroma or any interspace perineural neuritis, injecting a concentrated B12 dose directly around the nerve has been shown to promote nerve repair and diminish pain from nerve damage

you are not consuming enough of it through your diet, or your body is unable to absorb the supplement

If youre concerned about pernicious anemia, ask your healthcare provider if youre at risk and what steps you can take to avoid vitamin B12 deficiency