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[DOI] [PMC free article] [PubMed] [Google Scholar] Irving S

For many, particularly those with underlying malabsorption issues like pernicious anaemia, injections are demonstrably more effective and stronger in their ability to deliver B12 directly into the bloodstream, bypassing the digestive systems limitations

This lack of approval means they haven't been proven safe or effective through rigorous clinical trials

[6] [25] At levels only slightly below normal, deficiency can result in fatigue, headaches, feeling faint, rapid breathing, pale skin, numbness or tingling, poor appetite, heartburn, poor balance, difficulty walking, poor reflexes, blurred vision, memory problems, depression, irritability, inattention, cognitive decline, dementia, and even psychosis