B-12 injections bypass the digestive tract and deliver the vitamin directly into the bloodstream, ensuring quicker and more effective absorption
Suppliers should ship with ice packs and provide storage instructions
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4,5 Dietary insufficiency, pernicious anemia (i.e., an autoimmune process that reduces available intrinsic factor and subsequent absorption of vitamin B 12 1,2,6,7 ), and long-term use of metformin or acid-suppressing medications have been implicated in B 12 deficiency
Also you need to make sure your folate levels & other bs are all good as the vitamin bs work together
Vitamin B12 level