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It is injected subcutaneously (under the skin) of the upper thigh, stomach (abdomen), or upper arm once weekly

11 Women at high risk of or with known vitamin B 12 deficiency should supplement with vitamin B 12 while pregnant or breastfeeding

Other aspects of the vegan diet are healthy but, said Sanders, B12 is the one thing we are concerned about

Difficulty walking or balance problems : Nerve damage caused by B12 deficiency can lead to difficulty walking, balance problems, and even muscle weakness
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Complex roles of nicotinamide N-methyltransferase in cancer progression