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Most people in the general population can get enough vitamin B12 from a balanced diet

Too much water Youll need multiple syringe pulls per dose

The B12 deficiency itself getting worse, either because not enough unhealthy red blood cells have expired and been replaced by healthy ones (each one of them has a 90 day life-cycle), or because the B12 wasnt injected on a daily schedule

Your muscles will feel like mush if theyre not getting enough oxygen from red blood cells