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I immediately got an injection at the office but knew Id need a long term solution

The subcutaneous approach here is this sites framing, not the established route [4]

Members of the Pernicious Anaemia Society forum have proposed: Many people on this forum have said that B12 injections made their symptoms worse

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If you know you have MTHFR mutations, discuss B12 form with your prescriber and consider methylcobalamin if available