People who follow vegetarian or vegan diets, have restricted eating habits, absorption concerns, digestive conditions, or suspected low B12 levels should speak with a provider to determine whether B12 support is appropriate
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Another possibility is the following: after uptake, vitamin B12 is slowly bound to serum vitamin B12 proteins ( The mechanism by which vitamin B12 administration exerts its positive effect on ME/CFS patients is unknown
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In many cases, Vitamin B complex injections can be used alongside other supplements