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Some people may need supplements

Rapid rise in the blood: Within hours of the injection, the B12 level in your blood rises significantly, giving your body the raw material it has been missing

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The Prevalence of Cobalamin Deficiency Among Vegetarians Assessed by Serum Vitamin B12: A Review of Literature

For example, you shouldn't use this medication if you're allergic to cyanocobalamin or cobalt, or if you have Lebers disease, which is an inherited form of vision loss