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Special caution is warranted in certain contexts even if not formal contraindications

For deficiency, B12 shots are given weekly or every other week at first

Difficulty walking or balance problems : Nerve damage caused by B12 deficiency can lead to difficulty walking, balance problems, and even muscle weakness

Karagiannis AD, Mehta A, Dhindsa DS, Virani SS, Orringer CE, Blumenthal RS, et al

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Fun fact: The cap can be used to measure 0.25 teaspoons of product, which is the dermatologist-recommended amount for the face