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I am no expert on any of this but read this forum every day

Securely tape the lid to the can

They represent a high-risk group requiring careful monitoring and aggressive supplementation as needed

The key is to confirm the "pernicious" part of the name, which refers to the underlying autoimmune attack

However, some people cannot take vitamin B12 injections safely, including those with Lebers disease or similar eye concerns, kidney disease, liver disease, iron or folic acid deficiency, an active infection, or those taking medications that may interact with vitamin B12