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In some cases, or for more rapid replenishment, intramuscular injections may be recommended

Possible symptoms may include: Fatigue or low energy Weakness Tingling sensations Difficulty concentrating Pale skin Shortness of breath These symptoms may also relate to other health conditions, so professional medical advice is important before treatment decisions are made

Risk factors for vitamin B12 deficiency include a decreased ability to absorb this vitamin due to low hydrochloric acid secretion, certain medications, or gastrointestinal disease and surgeries

People under high stress or with digestive issues that impair nutrient absorption

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