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If you are too sensitive to the damage, then a numbing agent is used to avoid any minor discomfort during the injection

Specific populations requiring enhanced surveillance include: Patients on long-term metformin (test if deficiency is suspected

Injections are appropriate for vegans or vegetarians with confirmed deficiency or documented absorption issues, but they are not the only effective option

Delayed Treatment: Vitamin B12 deficiency left untreated for longer than 3 months may cause permanent spinal cord and nerve damage

Why Injections Can Be More Effective Than Pills If youve ever felt like your oral B12 supplement isnt doing much, youre not alone