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A 2020 study found that the death rate among people with the highest levels of B12 in their bodies was almost twice as high as that of people with the lowest levels of B12

B12 injections tend to be most useful for: Patients on GLP-1 medications (semaglutide, tirzepatide) who feel fatigue in early weeks Patients with low energy, brain fog, or mood symptoms Vegetarians or vegans (plant foods don't contain B12) Adults over 50 (B12 absorption drops with age) Patients who've had digestive surgeries (bariatric, gallbladder) that affect absorption They're generally safe B12 is water-soluble, so your body excretes what it doesn't use

This includes talking about things like how the injury occurred, which treatments have already been attempted, and how the injury is affecting the patients daily life