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These observations are exploratory and not conclusive

According to an article about cobalamin deficiency in Tufts Universitys catnip newsletter, people with cobalamin deficiency also experience changes with intestinal permeability and absorptive function

How Vitamin B12 Injections Work at Our Lakewood Clinic Before starting treatment, providers at our Lakewood clinic follow a structured process focused on medical evaluation, personalized care, and ongoing monitoring

Common side effects include pain or redness at the injection site, mild diarrhea, itching, and swelling

I then discovered that the expiry date on the ampoules in my car was 2019 and they had obviously been exposed to extremes of heat and temperature fluctuations (but had been kept dark)