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Nutrients , 9 (3), 308

Each method has its own benefits and uses

Signs that may mean you need Vitamin B12 injections include fatigue, weakness, and neurological changes

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PMID 35783198.

The survey also found that those who self-injected were more likely to report feeling unsafe in primary care and, at times, they felt that they were not treated with dignity and ..the main reasons given were to improve fatigue and TO REDUCE BRAIN FOG and pins and needles. Theres a clue there somewhere