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[9] [5] It is given by mouth, by injection into a muscle, or as a nasal spray

Blood test markers to discuss with a clinician Marker CBC with differential Why it matters Screens anemia, infection patterns, and general blood-cell context before interpreting fatigue changes

Subcutaneous B12 Injection Procedure Subcutaneous B12 injections are an alternative to intramuscular shots and may be a less painful method for some patients, although they are less common

It can also lead to numbness, balance problems, cognitive issues, mouth ulcers, a swollen tongue and mood changes like depression," Agyeman notes

Reduced lipogenesis is among the better-supported mechanistic features