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[23] Antivitamin B 12 compounds (often synthetic B 12 analogues) not only have no vitamin action, but also actively interfere with the activity of true vitamin B 12

These include, extreme tiredness, a lack of energy, pins and needles, muscle weakness, disturbed vision, mouth ulcers, a sore and red tongue, and cognitive or psychological concerns such as depression, confusion, and difficulty with memory, understanding or judgement

Published studies have investigated its potential role in: metabolic regulation adipocyte biology nicotinamide metabolism methylation pathways NAD biology ageing biology oncology research These are active areas of scientific investigation rather than established clinical applications

Today, many Indians have never seen long pepper in its natural form

Knowing the safety issues with injectable B12 helps us use it safely