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2025 Mar;31(3):e70001

Importantly, functional B12 deficiency can sometimes coexist with high total B12 levels, especially in kidney disease, and may require additional testing with methylmalonic acid (MMA) or holotranscobalamin if deficiency is suspected clinically

Change the location with every B12 injection to minimize inflammation and the risk of tissue damage

Baca's poetry in his 1977 anthology Fired Up with You: Poems of a Niagara Vision (Border Press), one of the earliest anthologies to include Jimmy Santiago Baca's poems

Other people who may need to consider taking a vitamin B12 supplement include those on a plant-based diet, elderly people and those with a compromised digestive system

How Often Can You Get a B12 Injection