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For most, a healthy diet provides all the B12 you need

Not having enough can cause tiredness, brain issues, and big red blood cells

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Avoid heavy lifting for at least a week because it can strain your lower spine before the medication has had time to work

Vendor technical sheets and primary studies report selectivity over related methyltransferases and enzymes of the NAD salvage pathway [1,6,7]

If it looks cloudy, has particles, or has changed color significantly, do not use it