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Deficiency in vitamin B12 may cause anemia, fatigue, muscle weakness, intestinal problems, nerve damage, and mood disturbances

Two people using identical protocols may have completely different results simply because one received genuine product while the other received degraded, contaminated, or counterfeit material

14 Important differential diagnoses to consider include medication side effects (eg, methotrexate, chemotherapy, or antibiotics such as trimethoprim), and malabsorption due to an anatomic or autoimmune cause (pernicious anemia), as well as a primary bone marrow pathology such as myelodysplastic syndrome

Vitamin B12 is an essential nutrient, and those that have that are deficient in this vitamin would need vitamin B12 injections every couple of months

Methylcobalamin costs 3-5 times more than cyanocobalamin in pharmaceutical-grade form

Scapulothoracic injections are reserved for inflammation of the involved bursa