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Injections are far more effective, especially for anyone with an absorption issue like pernicious anemia, Crohns disease, or a history of gastric surgery

Precautions General Precautions: Vitamin B 12 deficiency that is allowed to progress for longer than 3 months may produce permanent degenerative lesions of the spinal cord

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In other words, smaller daily doses are better than infrequent higher ones

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