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(2018) Oral vitamin B12 versus intramuscular vitamin B12 for vitamin B12 deficiency

Autonomic changes in ME/CFS are likely to cause an overall effect of vasoconstriction and resultant hypoperfusion (58), which is central to the pathology of ME/CFS (183) ( Figure 8 )
If you are pregnant or breastfeeding, consult your healthcare provider before introducing new products

This formulation allows the solution to remain usable for multiple withdrawals over a defined period when handled properly under aseptic laboratory conditions

Meaning: if you arent truly deficient in B12, adding extra B12 to your diet could actually aggravate your skin and cause blemishes
