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It is recommended to use B12 under medical supervision and have your levels monitored by your healthcare provider
Discussing B12 Shots & B12 Injections: Examining the Definite Relationship Between B12 Injections and Folic Acid Levels, Alongside Alternative Supplementation Options
notes that a significant number of people who are B12 deficient are unable to absorb the vitamin from food or supplements, and so need to inject it, which they can only do at their GP practice
This is part of why B12 has a strong safety record, and it is also why levels sometimes need regular replenishment during active treatment
Instead, most people may only experience chronic fatigue or frequent headaches from B12 deficiency
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