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Other medications that may affect vitamin B12 levels include colchicine, aminosalicylic acid, and certain anticonvulsants such as phenytoin, phenobarbital, and primidone

Nat Neurosci

Injections provide the quickest way to restore B12 levels

In simplified terms it works like this: when damage occurs somewhere in the body, the tissue needs blood, oxygen, nutrients, immune cells

Remember, vitamin B12 shots are a tool to support your health, not a cure-all

Anyone outside a healthy, monitored research context and especially anyone in one of the sensitive groups above sits entirely beyond the edge of what has been studied, which is exactly why a clinicians judgement, not a web page, is the right place for that decision to be made