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The latter is better, but we recommend methylcobalamin, as it includes a methyl group and directly aids in lowering homocysteine levels and in fixing nerve damage, two issues often faced by pernicious anemia and B12 deficiency patients

References Cox HD, Smeal SJ, Hughes CM, Cox JE, Eichner D

Optimize Nutrient Levels with Rapid Absorption Intramuscular (IM) shots deliver highly bioavailable nutrientstypically 7090% absorptiondirectly into your muscle tissue

These symptoms are also possible to result from poor sleep, iron deficiency, problems with the thyroid gland, stress, etc

A deficiency can also cause a condition called megaloblastic anemia which creates larger, immature, and abnormal red blood cells and leads to impaired DNA synthesis