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They work well when oral supplements dont help

For patients with conditions like pernicious anemia, gastrointestinal disorders, or those who have had certain surgeries, B12 shots are especially important to ensure your body receives adequate levels for overall well-being

Check out this online: SIRVA (shoulder injury related to vaccine administration)

Conclusion: Sublingual and oral B12 supplementation appear to be as effective as intramuscular (IM) injections in improving cobalamin status and reducing homocysteine levels

One common cause of persistent fatigue and low energy that we often see in our practice is Vitamin B12 deficiency