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This method allows for rapid absorption and is often preferred for individuals with severe B12 deficiency or malabsorption issues
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Shaking may damage or foam a peptide solution
A patient with unexplained fatigue should be worked up, not injected masking a B12 deficiency of unclear cause, or an unexamined thyroid problem, with a monthly shot is a real clinical risk
Testing for vitamin B12 or folate deficiency is not routinely included in blood work ordered at an annual physical exam
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