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This is because B12 is essential for the production of red blood cells (RBCs)

Stem Cell Rep 16 CrakeR

This only makes sense if you inject frequently or want to stock up long-term
Neither the legally suspect nor the legal option came close to the level of medical care I receive from my primary care provider, but the difference between the two was stark

Cells characterized by rapid division (epithelial cells, bone marrow, myeloid cells) appear to have the greatest requirement for cyanocobalamin

The University of Michigan also warns that a B12 shot is not recommended for people with Lebers disease (7)
