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The dramatic improvement often associated with B12 injections occurs when treating genuine deficiency, where fatigue is a cardinal symptom

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Andia I, Maffulli N

Hormonal and Cellular Effects (Theoretical) : Influence on growth factors and cellular signaling raises concerns about unintended effects on tissue growth or repair processes

If your B12 deficiency is not diet-related, you'll need to take B12 injections
