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Quite a few of these medications do mention vitamin B12 deficiency on their side effects list, especially if they are taken long-term

Eur J Med Genet

If you are not able to have B12 injections, you may be suitable for treatment with B12 tablets or other forms of B12 supplements

A skilled injector should be comfortable using each of these products

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Neither compound competes for receptor binding, shares metabolic cofactors, or produces overlapping side effect profiles in published research