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A B12 deficiency can happen due to age, low absorption, low IF levels, or diet

35 There is also compelling evidence that vitamin B 12 deficiency occurs frequently during pregnancy, 2 6 7 and case studies have demonstrated harmful effects of severe vitamin B 12 deficiency on the developing infant brain

If you want to get results from a pill or supplement, you have to take them daily, but to get results from vitamin injections, you stop in for a quick office visit

Effectiveness of acupuncture for treatment of diabetic peripheral neuropathy: a protocol for systematic review