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These include vitamin B12 deficiency and malabsorption that is caused by the following medical conditions, according to the NIH [1]: Pernicious anemia Tropical sprue Pancreatic insufficiency Surgery in the gastrointestinal tract Certain medications Deficiency in the diet Side effects of B-12 injections Also, according to the NIH, vitamin B-12 injections have some potential side effects, including [1]: Diarrhea Itching Swelling Risk of allergic reaction and anaphylaxis Can Vitamins Aid in Weight Loss

When you rely on oral B12 supplements to improve your B12 levels, you may not get the full benefit of your dosage because the nutrients have to get through your digestive system before they enter your bloodstream

I have severely low b levels and perm nerve damage in my hands & cervical spine

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Precise Dosing Vitamin B12 injections allow precise dosing, which is important for individuals who tend to be deficient in Vitamin B12