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For borderline results, additional testing with holotranscobalamin or methylmalonic acid/homocysteine levels may be appropriate

B12 Injection Potential Benefits vs

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About Vitamin B12 Individuals who do not consume animal products or have poor natural absorption may have a vitamin B12 deficiency resulting in fatigue, poor sleep, and low concentration

For a practical injection checklist and tips see this injection guide: Vitamin B12 injection guide