However, there is no robust evidence that B12 injections enhance energy, alertness, or performance in individuals whose B12 levels are already adequate
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Patients should be informed of the pros and cons of oral versus parenteral therapy, and regardless of the form of treatment, those with pernicious anemia or malabsorption should be reminded of the need for lifelong replacement
Di Matteo, G
[71] Pernicious anemia is eventually treated with only injections of B 12
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