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Some researchers prefer morning dosing on an empty stomach for energy-pathway timing, but this is preference-driven rather than evidence-driven
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Labs that should be drawn to rule out various secondary causes include TSH, CBC, magnesium, folate/B12, vitamin D, iron studies including ferritin and basic metabolic panel

Shots are a quick way to make sure you get enough of it

Pregnancy, as high doses of vitamin B12 may be harmful to the developing fetus It is important to consult with a healthcare professional to determine if vitamin B12 injections are appropriate for you and to discuss any contraindications or potential risks associated with this treatment