Due to the complicating factor of a shot and the extra cost, it seems the best route for most people is to focus on getting adequate B vitamins from food, and supplement as necessary.
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The symptoms that should be watched for if you are developing vitamin B12 deficiency often come on slowly, and gradually, but over time will intensify
Injection frequency requires clear documentation
What Are The Signs That A B12 Injection Is Working
It has also been shown to be the causative factor in many cases of pediatric neuropathy (Dobrozsi, Flood, Panepinto, Scott & Brandow, 2013)