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So, if you are eating a varied diet and do not have a laboratory-documented vitamin B12 deficiency, you do not need additional supplementation. However, she explains people who subscribe to strict vegan or vegetarian diets are much more likely to be at risk of vitamin B12 deficiency, and they should take supplemental B12, especially when pregnant or trying to become pregnant

Subcutaneous B12 Injection Procedure Subcutaneous B12 injections are an alternative to intramuscular shots and may be a less painful method for some patients, although they are less common

Most evidence comes from lab and animal research so far, human studies are still limited

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