time of day to take b12 injections at Home - Safety Guide for Self-Administration B12 Injections: Who Should Get
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And a classic sign of severe B12 deficiency is a sore, inflamed, smooth beefy-red tongue

Several groups are at a higher risk: Pernicious Anemia: This autoimmune condition attacks a protein in your stomach needed to absorb B12, making injections necessary as oral supplements won't work
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Once stores are depleted, deficiency symptoms can progress rapidly, affecting haematological and neurological systems