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Patients should verify that their pharmacy holds state board accreditation and voluntarily complies with PCAB or USP 797 standards [13]

Furthermore, although its very rare, getting too much vitamin B12 can lead to toxicity, says Yuval Pinto, MD, an obesity and family medicine doctor at Johns Hopkins Medicine in Baltimore

Injections are a common method for those with moderate to severe B12 deficiency

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Many people report improved mood, reduced symptoms of depression and anxiety, and better cognitive function after B12 supplementation

Pregnant or nursing women, individuals with active cancer, or those with severe renal impairment should avoid these protocols