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B12 shots are often recommended when there is a known absorption issue with B12 through the digestive system

This approach should be medically supervised, with monitoring based on the patients health history and treatment goals

Motor : muscle weakness, ataxia, reduced reflexes (if peripheral neuropathy) or increased reflexes and/or upgoing plantars (if central neuropathy)

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These injections are administered into the muscle, allowing them to bypass the digestive system for faster absorption and improved bioavailability