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Many people are deficient without knowing it especially those who eat plant-based diets, take certain medications, or are over 50

B12 levels can be affected by nutrition, genetics, and the gut microbiome

You said she is autistic, just an idea You could inject in each leg for each injection but in the same muscle area so then it may feel more comfortable and the area should not hurt

Within the body, cobalamin acts as a critical coenzyme in two primary and distinct biochemical pathways that are absolutely essential for survival

If youre experiencing oral discomfort alongside fatigue or other symptoms, its worth consulting your GP for a blood test