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Years ago I did try skin patches but they did not help at all

Theres also the possibility that your B12 deficiency itself keeps progressing

Benefits of Vitamin B12 Injections and Therapies Vitamin B12 therapy is especially beneficial for individuals struggling with low energy, nervous system health issues, or difficulty absorbing vitamins from food alone

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Another blood test is recommended 4-6 weeks after your therapy, to check how are your B12 levels improving